Pleasant Valley Pharmacy

LBN: Pleasant Valley Pharmacy
Pleasant Valley Pharmacy is an health care organization with primary practice located at 49 Vip Way , Fairmont WV 26554. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pleasant Valley Pharmacy can be contacted via phone (304) 366-3145, or through Hoffman, Martin via phone (304) 363-0568.

Contact Information

Primary practice address
49 Vip Way Fairmont WV 26554
Phone: (304) 366-3145
Fax: (304) 363-8485
Website:
Map and Directions
Authorized official contact:
Name: Hoffman, Martin RPH
Phone: (304) 363-0568

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552341 West Virginia

Profile Details

NPI number 1437252574
LBN Legal business name Pleasant Valley Pharmacy
DBA Doing business as Pleasant Valley Pharmacy
Authorized official Hoffman, Martin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437252574 NPPES
West Virginia MEDICAID 3810006802
West Virginia Other 2111586

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