Village Pharmacy

LBN: Randolph J Weaver
Village Pharmacy is an health care organization with primary practice located at 7181 State Route 54 , Bath NY 14810-9502. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Randolph J Weaver can be contacted via phone (607) 664-9039, or through Weaver, Randolph via phone (607) 664-9039.

Contact Information

Primary practice address
7181 State Route 54 Bath NY 14810-9502
Phone: (607) 664-9039
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Randolph
Phone: (607) 664-9039

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 034106 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104282318
LBN Legal business name Randolph J Weaver
DBA Doing business as Village Pharmacy
Authorized official Weaver, Randolph
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2016
Last updated Jan 25th, 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 1104282318 NPPES
Other 2157398 PK

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