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Contact Information

RUSSELL FORK PHARMACIES, INC.
164 HAYSI MAIN STREET
HAYSI, VA24256
 Phone: 276-865-5560
 Fax: 276-865-5310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RUSSELL FORK PHARMACIES, INC.

NPI # 1184714230
LBN Legal business name RUSSELL FORK PHARMACIES, INC.
Authorized official ERVIN COUNTS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 06/28/2024 - More than a year ago
Identifiers
VA License # 0201003911
VA Medicaid 008520020
VA Other 4837463 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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