Blacksburg Pharmacy
LBN: Blacksburg Pharmacy Llc
Blacksburg Pharmacy is an health care organization with primary practice located at 1403 N Main St , Blacksburg VA 24060-2563. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Blacksburg Pharmacy Llc can be contacted via phone (540) 552-3000, or through Marimuthu, Senthil via phone (540) 320-3345.
Contact Information
Primary practice address
1403 N Main St
Blacksburg VA 24060-2563
Phone: (540) 552-3000
Fax: (540) 552-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201004568 | Virginia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1205255312 |
|---|---|
| LBN Legal business name | Blacksburg Pharmacy Llc |
| DBA Doing business as | Blacksburg Pharmacy |
| Authorized official | Marimuthu, Senthil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Jul 19th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205255312 | NPPES |
| Other | 2145266 | PK | |
| MEDICAID | 1205255312 | PK |
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