Hdmc Pharmacy

LBN: Hdmc Pharmacy
Hdmc Pharmacy is an health care organization with primary practice located at 26317 W Washington Street Extended , Petersburg VA 23803. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hdmc Pharmacy can be contacted via phone (804) 524-7744, or through Griffin, Jarvis T via phone (804) 524-7112.

Contact Information

Primary practice address
26317 W Washington Street Extended Petersburg VA 23803
Phone: (804) 524-7744
Fax: (804) 524-4718
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Jarvis T DHA, LNHA, CPHQ
Phone: (804) 524-7112

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201001240 Virginia
Suppliers / Long Term Care Pharmacy 3336L0003X 0201001240 Virginia

Profile Details

NPI number 1275511768
LBN Legal business name Hdmc Pharmacy
DBA Doing business as
Authorized official Griffin, Jarvis T DHA, LNHA, CPHQ
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 16th, 2023 - about last year

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 1275511768 NPPES
Virginia MEDICAID 49-0104/495113

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