Halifax Pharmacy

LBN: David June Enterprises Llc
Halifax Pharmacy is an health care organization with primary practice located at 4121 Halifax Rd Suite A, South Boston VA 24592-4833. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. David June Enterprises Llc can be contacted via phone (434) 575-0511, or through Anderson, Stephen via phone (434) 575-0511.

Contact Information

Primary practice address
4121 Halifax Rd Suite A South Boston VA 24592-4833
Fax: (434) 575-1366
Website:
Authorized official contact:
Name: Anderson, Stephen PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201000680 Virginia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1861586687
LBN Legal business name David June Enterprises Llc
DBA Doing business as Halifax Pharmacy
Authorized official Anderson, Stephen PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 20th, 2021 - about 3 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 1861586687 NPPES
Virginia MEDICAID 009138498
Virginia Other 2102641

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