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Contact Information

FIFTH SANITARY FOOD STORE INC
8382 WEST MAIN STREET
MARSHALL, VA20115
 Phone: 540-364-9568
 Fax: 540-364-1479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FIFTH SANITARY FOOD STORE INC

NPI Number 1932247699
LBN Legal business name FIFTH SANITARY FOOD STORE INC
Authorized official HOLDER TRUMBO - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 02/28/2012 - About 14 years ago
Identifiers
VA License # 0201001805
VA Medicaid 00851315
Other 4816801 NCPDP PROVIDER IDENTIFICATION NUMBER
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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