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Contact Information

VICTORY DISTRIBUTORS, LLC
255 JOSEPH E. WARNER BLVD
TAUNTON, MA02780
 Phone: 580-824-1057
 Fax: 508-822-0140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for VICTORY DISTRIBUTORS, LLC

NPI # 1245463876
LBN Legal business name VICTORY DISTRIBUTORS, LLC
Authorized official ELWEN EATON - (PHARMACY INSURANCE SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2009
Last updated 01/27/2014 - About 12 years ago
Identifiers
MA License # 3439
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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