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Contact Information

CAVALIER PHARMACY INC
301 CHURCH ST
WISE, VA24293
 Phone: 276-328-9141
 Fax: 276-328-9130
 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
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CAVALIER PHARMACY INC

NPI # 1568487387
LBN Legal business name CAVALIER PHARMACY INC
Authorized official RICK MULLINS - (PHARMACIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 06/10/2014 - About 12 years ago
Identifiers
VA License # 0201003976
VA License # 0202012914
VA Medicaid 010076366
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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