<Unavail>

LBN: Victory Distributors Llc
<Unavail> is an health care organization with primary practice located at 182 Summer St , Kingston MA 02364-1277. 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) 585-1326, or through Eaton, Elwen via phone (207) 885-7454.

Contact Information

Primary practice address
182 Summer St Kingston MA 02364-1277
Phone: (781) 585-1326
Fax: (781) 585-1310
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Elwen
Phone: (207) 885-7454

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3404 Massachusetts

Profile Details

NPI number 1255449633
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 1255449633 NPPES
Massachusetts MEDICAID 0497789
Massachusetts Other 2039544

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