Greenbrier Medical Arts Pharmacy, Inc

LBN: Greenbrier Medical Arts Pharmacy, Inc
Greenbrier Medical Arts Pharmacy, Inc is an health care organization with primary practice located at 3558 Jefferson St N Ste 1 , Lewisburg WV 24901-5730. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Greenbrier Medical Arts Pharmacy, Inc can be contacted via phone (304) 647-1377, or through Carson, David Allen via phone (304) 645-5547.

Contact Information

Primary practice address
3558 Jefferson St N Ste 1 Lewisburg WV 24901-5730
Phone: (304) 647-1377
Fax: (304) 647-9772
Website:
Map and Directions
Authorized official contact:
Name: Carson, David Allen
Phone: (304) 645-5547

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X MP0552303 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X MP0552323 West Virginia
Suppliers / Long Term Care Pharmacy 3336L0003X MP0552323 West Virginia

Profile Details

NPI number 1912900614
LBN Legal business name Greenbrier Medical Arts Pharmacy, Inc
DBA Doing business as
Authorized official Carson, David Allen
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Feb 9th, 2022 - 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 1912900614 NPPES
West Virginia Other Q446250001 PALMETTO GBA PTAN
West Virginia MEDICAID 0141908001 PALMETTO GBA PTAN
West Virginia Other 5012098 PALMETTO GBA PTAN
West Virginia MEDICAID 1912900614 PALMETTO GBA PTAN

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