<Unavail>

LBN: Victory Distributors Llc
<Unavail> is an health care organization with primary practice located at 10 Washington St , Norwell MA 02061-1749. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Victory Distributors Llc can be contacted via phone (781) 878-7063, or through Eaton, Elwen via phone (207) 885-7454.

Contact Information

Primary practice address
10 Washington St Norwell MA 02061-1749
Fax: (718) 878-0311
Website:
Authorized official contact:
Name: Eaton, Elwen

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3405 Massachusetts

Profile Details

NPI number 1164530549
LBN Legal business name Victory Distributors Llc
DBA Doing business as <Unavail>
Authorized official Eaton, Elwen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2006
Last updated Apr 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 1164530549 NPPES
Other 2039545 PK
MEDICAID 0497959 PK

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