Big Four Drugstore Inc

LBN: Big Four Drugstore Inc
Big Four Drugstore Inc is an health care organization with primary practice located at 300 Temple St , Hinton WV 25951-0688. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Big Four Drugstore Inc can be contacted via phone (304) 466-2323, or through Ellison, John Mark via phone (304) 466-2323.

Contact Information

Primary practice address
300 Temple St Hinton WV 25951-0688
Fax: (304) 466-2366
Website:
Authorized official contact:
Name: Ellison, John Mark RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X SP0550015 West Virginia
Suppliers / Pharmacy 333600000X SP0550015 West Virginia

Profile Details

NPI number 1659358513
LBN Legal business name Big Four Drugstore Inc
DBA Doing business as
Authorized official Ellison, John Mark RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659358513 NPPES
West Virginia MEDICAID 0139587000

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