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Contact Information

NICKELSVILLE PHARMACY INC
11708 NICKELSVILLE HWY
NICKELSVILLE, VA24271
 Phone: 276-479-2600
 Fax: 276-479-2652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NICKELSVILLE PHARMACY INC

NPI Number 1659761807
LBN Legal business name NICKELSVILLE PHARMACY INC
Authorized official RICK MULLINS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2015
Last updated 12/09/2016 - About 9 years ago
Identifiers
VA Medicaid 1659761807
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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