Anchor Pharmacy #112

LBN: Kilmarnock Drug Co Inc
Anchor Pharmacy #112 is an health care organization with primary practice located at 2 S Main St , Kilmarnock VA 22482. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Kilmarnock Drug Co Inc can be contacted via phone (804) 435-2186, or through Thompson, Kenneth via phone (804) 435-2186.

Contact Information

Primary practice address
2 S Main St Kilmarnock VA 22482
Fax: (844) 742-6569
Website:
Authorized official contact:
Name: Thompson, Kenneth BS PHARMACY

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 0201002948 Virginia

Profile Details

NPI number 1366497984
LBN Legal business name Kilmarnock Drug Co Inc
DBA Doing business as Anchor Pharmacy #112
Authorized official Thompson, Kenneth BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Apr 11th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366497984 NPPES
Other 2105483 PK
MEDICAID 009141740 PK
MEDICAID 008505501 PK

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