The Drug Store - Vale

LBN: Community Pharmacy Of Vale Llc
The Drug Store - Vale is an health care organization with primary practice located at 9576 Nc Hwy 10 W , Vale NC 28168. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Community Pharmacy Of Vale Llc can be contacted via phone (704) 462-0226, or through Richards, Mark via phone (704) 904-3287.

Contact Information

Primary practice address
9576 Nc Hwy 10 W Vale NC 28168
Fax: (704) 462-0229
Website:
Authorized official contact:
Name: Richards, Mark

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 12064 North Carolina

Profile Details

NPI number 1750486510
LBN Legal business name Community Pharmacy Of Vale Llc
DBA Doing business as The Drug Store - Vale
Authorized official Richards, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Jan 6th, 2015 - 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 1750486510 NPPES
Other 2147412 PK
MEDICAID 0186299 PK

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