National Provider Identifier Database

FORK UNION PHARMACY INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

FORK UNION PHARMACY INC
4316 B JAMES MADISON HWY
FORK UNION, VA23055
Phone: 434-842-3208
Fax: 434-842-1447
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for FORK UNION PHARMACY INC

NPI Number 1417970880
Legal business name
LBN
FORK UNION PHARMACY INC
Authorized official IVAN YONCE - (OWNER AND PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 07/25/2006
Last updated 10/04/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0201000280
  • VA Medicaid: 1417970880
  • VA Medicaid: 8505357
  • Other: 2102630 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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