Cavalier Pharmacy Inc

LBN: Cavalier Pharmacy Inc
Cavalier Pharmacy Inc is an health care organization with primary practice located at 301 Church St , Wise VA 24293. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cavalier Pharmacy Inc can be contacted via phone (276) 328-9141, or through Mullins, Rick L via phone (276) 328-9141.

Contact Information

Primary practice address
301 Church St Wise VA 24293
Fax: (276) 328-9130
Website:
Authorized official contact:
Name: Mullins, Rick L PHARMD

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202012914 Virginia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003976 Virginia

Profile Details

NPI number 1568487387
LBN Legal business name Cavalier Pharmacy Inc
DBA Doing business as
Authorized official Mullins, Rick L PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 10th, 2014 - about 11 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 1568487387 NPPES
Virginia MEDICAID 010076366

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