White Hall Pharmacy Llc

LBN: White Hall Pharmacy Llc
White Hall Pharmacy Llc is an health care organization with primary practice located at 1325 Locust Ave , Fairmont WV 26554-1435. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. White Hall Pharmacy Llc can be contacted via phone (304) 368-9355, or through Vilain, Terri via phone (304) 368-9355.

Contact Information

Primary practice address
1325 Locust Ave Fairmont WV 26554-1435
Phone: (304) 368-9355
Fax: (304) 367-8601
Website:
Map and Directions
Authorized official contact:
Name: Vilain, Terri RPH
Phone: (304) 368-9355

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552374 West Virginia

Profile Details

NPI number 1114098134
LBN Legal business name White Hall Pharmacy Llc
DBA Doing business as White Hall Pharmacy Llc
Authorized official Vilain, Terri RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 27th, 2012 - about 14 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 1114098134 NPPES
Other 5010905 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 3810012153 NCPDP PROVIDER IDENTIFICATION NUMBER

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