Super D Drug Store

LBN: Burnt Chimney Pharmacy
Super D Drug Store is an health care organization with primary practice located at 2152 Dale Ave Se , Roanoke VA 24013-2136. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as the primary health care specialty. Burnt Chimney Pharmacy can be contacted via phone (540) 345-8342, or through Hetherington, Emily via phone (540) 345-8342.

Contact Information

Primary practice address
2152 Dale Ave Se Roanoke VA 24013-2136
Phone: (540) 345-8342
Fax: (540) 345-8237
Website:
Map and Directions
Authorized official contact:
Name: Hetherington, Emily CPHT
Phone: (540) 345-8342

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0230003079 Virginia

Profile Details

NPI number 1710981618
LBN Legal business name Burnt Chimney Pharmacy
DBA Doing business as Super D Drug Store
Authorized official Hetherington, Emily CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1710981618 NPPES
Virginia Other 4828705 NABP

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