Essentia Health Virginia Hospital Pharmacy
LBN: Essentia Health Virginia Llc
Essentia Health Virginia Hospital Pharmacy is an health care organization with primary practice located at 901 9Th Street North , Virginia MN 55792. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Essentia Health Virginia Llc can be contacted via phone (218) 749-9414, or through Parks, Tara Marie via phone (218) 749-9414.
Contact Information
Primary practice address
901 9Th Street North
Virginia MN 55792
Phone: (218) 749-9414
Fax: (218) 749-9565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2608921 | Minnesota |
Profile Details
| NPI number | 1740293489 |
|---|---|
| LBN Legal business name | Essentia Health Virginia Llc |
| DBA Doing business as | Essentia Health Virginia Hospital Pharmacy |
| Authorized official | Parks, Tara Marie PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Feb 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740293489 | NPPES |
| Other | 2412118 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 900019400 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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