Goodykoontz Drug Store Inc
LBN: Goodykoontz Drug Stores Inc
Goodykoontz Drug Store Inc is an health care organization with primary practice located at 2924 East Cumberland Road , Bluefield WV 24701. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Goodykoontz Drug Stores Inc can be contacted via phone (304) 325-7121, or through Bovenizer, Jerry via phone (304) 324-7601.
Contact Information
Primary practice address
2924 East Cumberland Road
Bluefield WV 24701
Phone: (304) 325-7121
Fax: (304) 327-9701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0550098 | West Virginia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1417054255 |
|---|---|
| LBN Legal business name | Goodykoontz Drug Stores Inc |
| DBA Doing business as | Goodykoontz Drug Store Inc |
| Authorized official | Bovenizer, Jerry RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 19th, 2016 - about 8 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 | 1417054255 | NPPES |
| Virginia | MEDICAID | 0085046995 | |
| Virginia | MEDICAID | 0141899000 | |
| Virginia | Other | 2109351 |
Popular Providers
-
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Wal-Mart Stores East Lp
4001 College Ave , Bluefield VA 24605-2043 -
West Virginia Cvs Pharmacy Llc
1846 Coal Heritage Rd , Bluefield WV 24701-7900 -
Turner Investments, Inc.
1808 Jefferson St , Bluefield WV 24701-4032 -
New Graham Pharmacy Inc
566 Virginia Ave , Bluefield VA 24605-1729 -
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Kroger Limited Partnership I
3032 E Cumberland Rd , Bluefield WV 24701-4858