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Contact Information

HERITAGE PHARMACY LLC
5922B GEORGE WASHINGTON MEM HWY
YORKTOWN, VA23692
 Phone: 757-243-2764
 Fax:
 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 HERITAGE PHARMACY LLC

NPI Number 1679063523
LBN Legal business name HERITAGE PHARMACY LLC
Authorized official ERIC NELSEN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2018
Last updated 06/26/2018 - About 8 years ago
Identifiers
VA License # 201004843
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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