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Contact Information

VILLAGE PHARMACY INC
36 RAILROAD ST
LOST CREEK, WV26385
 Phone: 304-745-3301
 Fax: 304-745-5683
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VILLAGE PHARMACY INC

NPI Number 1922197490
LBN Legal business name VILLAGE PHARMACY INC
Authorized official RANDY WILLIAMS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/12/2016 - About 10 years ago
Identifiers
WV License # SP0550791
WV Medicaid 0143308000
Other 2109852 PK
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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