<Unavail>

LBN: Zimm Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 239 N Court St , Fayetteville WV 25840-1233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Zimm Pharmacy Inc can be contacted via phone (304) 574-4100, or through Zimm, Michael via phone (304) 574-4100.

Contact Information

Primary practice address
239 N Court St Fayetteville WV 25840-1233
Phone: (304) 574-4100
Fax: (304) 574-4103
Website:
Map and Directions
Authorized official contact:
Name: Zimm, Michael BS
Phone: (304) 574-4100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550650 West Virginia

Profile Details

NPI number 1568537140
LBN Legal business name Zimm Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Zimm, Michael BS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Mar 10th, 2015 - about 11 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 1568537140 NPPES
Other 2111395 PK
MEDICAID 8500068000 PK

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