Target Pharmacy

LBN: West Virginia Cvs Pharmacy Llc
Target Pharmacy is an health care organization with primary practice located at 436 Retail Commons Pkwy , Martinsburg WV 25403-6183. 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. West Virginia Cvs Pharmacy Llc can be contacted via phone (304) 264-5201, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
436 Retail Commons Pkwy Martinsburg WV 25403-6183
Fax: (304) 264-5201
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X MP0552380 West Virginia

Profile Details

NPI number 1235364043
LBN Legal business name West Virginia Cvs Pharmacy Llc
DBA Doing business as Target Pharmacy
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2009
Last updated Jan 11th, 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 1235364043 NPPES
Other 2120085 PK
MEDICAID 3810016547 PK

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