Blackstone Valley Community Pharmacy

LBN: Cardinal Health 132, Llc
Blackstone Valley Community Pharmacy is an health care organization with primary practice located at 39 East Ave Suite 100, Pawtucket RI 02860-4003. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cardinal Health 132, Llc can be contacted via phone (401) 642-2093, or through Brown, Michael via phone (281) 749-4764.

Contact Information

Primary practice address
39 East Ave Suite 100 Pawtucket RI 02860-4003
Fax: (401) 728-0456
Website:
Authorized official contact:
Name: Brown, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00614 Rhode Island

Profile Details

NPI number 1043762230
LBN Legal business name Cardinal Health 132, Llc
DBA Doing business as Blackstone Valley Community Pharmacy
Authorized official Brown, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 4th, 2016
Last updated Sep 20th, 2022 - about 3 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 1043762230 NPPES
Other 2166021 PK

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