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Contact Information

ESSENTIA HEALTH VIRGINIA LLC
901 9TH STREET NORTH
VIRGINIA, MN55792
 Phone: 218-749-9414
 Fax: 218-749-9565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ESSENTIA HEALTH VIRGINIA LLC

NPI Number 1740293489
LBN Legal business name ESSENTIA HEALTH VIRGINIA LLC
Authorized official TARA PARKS - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/14/2006
Last updated 02/23/2017 - About 9 years ago
Identifiers
MN License # 2608921
MN Medicaid 900019400
Other 2412118 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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