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Contact Information

COMMUNITY PHARMACY OF VALE LLC
9576 NC HWY 10W
VALE, NC28168-7451
 Phone: 704-462-0226
 Fax: 704-462-0229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for COMMUNITY PHARMACY OF VALE LLC

NPI # 1912170507
LBN Legal business name COMMUNITY PHARMACY OF VALE LLC
Authorized official KENNETH LONG - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2008
Last updated 03/27/2017 - About 9 years ago
Identifiers
NC License # 09378
NC Medicaid 0186299
NC Medicaid 7704939
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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