Southern Pharmacy Services
LBN: Guardian Pharmacy Of Virginia Llc
Southern Pharmacy Services is an health care organization with primary practice located at 860 Stafford Umberger Dr , Wytheville VA 24382. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty.
Guardian Pharmacy Of Virginia Llc can be contacted via phone (276) 228-5940, or through Terry, Chad via phone (866) 768-8479.
Contact Information
Primary practice address
860 Stafford Umberger Dr
Wytheville VA 24382
Phone: (276) 228-5940
Fax: (866) 928-3983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 201003165 | Virginia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | MO0559211 | West Virginia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 11375 | North Carolina |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 3903 | Tennessee |
Profile Details
| NPI number | 1447500400 |
|---|---|
| LBN Legal business name | Guardian Pharmacy Of Virginia Llc |
| DBA Doing business as | Southern Pharmacy Services |
| Authorized official | Terry, Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2012 |
| Last updated | Aug 10th, 2018 - about 6 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 | 1447500400 | NPPES |
| Virginia | MEDICAID | 1447500400 | |
| Virginia | MEDICAID | 3810024876 | |
| Virginia | Other | 4844266 |
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