Colonial Pharmacy

LBN: Colonial Pharmacy Inc
Colonial Pharmacy is an health care organization with primary practice located at 7510 Mechanicsville Tpke , Mechanicsville VA 23111-2144. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Colonial Pharmacy Inc can be contacted via phone (804) 746-7997, or through Bennett, Matthew via phone (804) 746-7997.

Contact Information

Primary practice address
7510 Mechanicsville Tpke Mechanicsville VA 23111-2144
Phone: (804) 746-7997
Fax: (804) 746-5669
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Matthew
Phone: (804) 746-7997

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201002983 Virginia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1114096450
LBN Legal business name Colonial Pharmacy Inc
DBA Doing business as Colonial Pharmacy
Authorized official Bennett, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 10th, 2009 - about 16 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 1114096450 NPPES
Virginia MEDICAID 1114096450
Virginia Other 4826371

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