BELLEVUE PHARMACY, INC; NPI #1821021809

Contact Information

BELLEVUE PHARMACY, INC

4038 MACARTHUR AVE
RICHMOND, VA 23227

Phone: 804-264-0458
Fax: 804-264-4588
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for BELLEVUE PHARMACY, INC

NPI # 1821021809

LBN Legal business name BELLEVUE PHARMACY, INC

Authorized official LORENZO MURRAY - (OWNER/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/10/2006

Last updated 07/20/2011 - About 15 years ago

Identifiers

VA	License #	0201003214
VA	Medicaid	008509115
VA	Medicaid	1821021809

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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