The Big Stone Gap Pharmacy

LBN: Wellmont Health System
The Big Stone Gap Pharmacy is an health care organization with primary practice located at 1980 Holton Ave E # 1 , Big Stone Gap VA 24219-3366. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wellmont Health System can be contacted via phone (276) 523-8702, or through Wright, Kay via phone (276) 523-8702.

Contact Information

Primary practice address
1980 Holton Ave E # 1 Big Stone Gap VA 24219-3366
Phone: (276) 523-8702
Fax: (276) 523-8750
Website:
Map and Directions
Authorized official contact:
Name: Wright, Kay RPH
Phone: (276) 523-8702

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002998 Virginia

Profile Details

NPI number 1760493258
LBN Legal business name Wellmont Health System
DBA Doing business as The Big Stone Gap Pharmacy
Authorized official Wright, Kay RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 8th, 2011 - about 15 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 1760493258 NPPES
Other 4826547 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 8543909 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 54032909 NCPDP PROVIDER IDENTIFICATION NUMBER

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