Colley Discount Pharmacy

LBN: Colley Discount Pharmacy Inc
Colley Discount Pharmacy is an health care organization with primary practice located at 1415 Colley Ave , Norfolk VA 23517-1705. 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. Colley Discount Pharmacy Inc can be contacted via phone (757) 622-2757, or through Buchberg, Stephan via phone (757) 622-2757.

Contact Information

Primary practice address
1415 Colley Ave Norfolk VA 23517-1705
Phone: (757) 622-2757
Fax: (757) 640-0367
Website:
Map and Directions
Authorized official contact:
Name: Buchberg, Stephan
Phone: (757) 622-2757

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002209 Virginia

Profile Details

NPI number 1619982212
LBN Legal business name Colley Discount Pharmacy Inc
DBA Doing business as Colley Discount Pharmacy
Authorized official Buchberg, Stephan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 28th, 2016 - about 9 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 1619982212 NPPES
Virginia MEDICAID 008510059
Virginia Other 2102952

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