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 10W , Vale NC 28168-7451. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & 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 Long, Kenneth A via phone (704) 735-2556.

Contact Information

Primary practice address
9576 Nc Hwy 10W Vale NC 28168-7451
Phone: (704) 462-0226
Fax: (704) 462-0229
Website:
Map and Directions
Authorized official contact:
Name: Long, Kenneth A
Phone: (704) 735-2556

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 09378 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X 09378 North Carolina

Profile Details

NPI number 1912170507
LBN Legal business name Community Pharmacy Of Vale Llc
DBA Doing business as The Drug Store Vale
Authorized official Long, Kenneth A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2008
Last updated Mar 27th, 2017 - about 7 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 1912170507 NPPES
North Carolina MEDICAID 0186299
North Carolina MEDICAID 7704939

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