Target Pharmacy

LBN: West Virginia Cvs Pharmacy Llc
Target Pharmacy is an health care organization with primary practice located at 30 Rhl , Charleston WV 25309-8278. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, 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) 746-0820, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
30 Rhl Charleston WV 25309-8278
Phone: (304) 746-0820
Fax: (304) 746-0820
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X MP0552268 West Virginia

Profile Details

NPI number 1922020627
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 Jul 24th, 2006
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 1922020627 NPPES
West Virginia MEDICAID 8500119000
West Virginia Other 2111411

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