Clinch Valley Pharmacy

LBN: Clinch Valley Pharmacy
Clinch Valley Pharmacy is an health care organization with primary practice located at 160 Martingale Dr , Tazewell VA 24651-7000. 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. Clinch Valley Pharmacy can be contacted via phone (276) 988-4871, or through Stansbury, Richard L via phone (276) 988-4871.

Contact Information

Primary practice address
160 Martingale Dr Tazewell VA 24651-7000
Phone: (276) 988-4871
Fax: (276) 988-6966
Website:
Map and Directions
Authorized official contact:
Name: Stansbury, Richard L
Phone: (276) 988-4871

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201002840 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730242298
LBN Legal business name Clinch Valley Pharmacy
DBA Doing business as
Authorized official Stansbury, Richard L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jun 19th, 2023 - about last year

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 1730242298 NPPES
Other 4809983 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 8502374 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0141752000 OTHER ID NUMBER-COMMERCIAL NUMBER

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