Extensive Pharmaceutical Services

LBN: Extensive Pharmaceutical Services, Inc.
Extensive Pharmaceutical Services is an health care organization with primary practice located at 306 N Queen St , Kinston NC 28501-4932. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Extensive Pharmaceutical Services, Inc. can be contacted via phone (252) 527-1593, or through Whitley, Glenn via phone (252) 527-1593.

Contact Information

Primary practice address
306 N Queen St Kinston NC 28501-4932
Fax: (252) 527-1893
Website:
Authorized official contact:
Name: Whitley, Glenn PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 10268 North Carolina

Profile Details

NPI number 1013015049
LBN Legal business name Extensive Pharmaceutical Services, Inc.
DBA Doing business as Extensive Pharmaceutical Services
Authorized official Whitley, Glenn PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 15th, 2011 - about 13 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 1013015049 NPPES
North Carolina MEDICAID 0545681
North Carolina Other 3430763

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