Main Street Pharmacy
LBN: Kilmarnock Pharmacy Inc
Main Street Pharmacy is an health care organization with primary practice located at 308 N Main St , Kilmarnock VA 22482-3834. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kilmarnock Pharmacy Inc can be contacted via phone (804) 435-8818, or through Throckmorton, Caroll via phone (804) 435-8818.
Contact Information
Primary practice address
308 N Main St
Kilmarnock VA 22482-3834
Phone: (804) 435-8818
Fax: (804) 435-8898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201004077 | Virginia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1528016771 |
|---|---|
| LBN Legal business name | Kilmarnock Pharmacy Inc |
| DBA Doing business as | Main Street Pharmacy |
| Authorized official | Throckmorton, Caroll RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 10th, 2018 - 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 | 1528016771 | NPPES |
| Virginia | MEDICAID | 010265975 | |
| Virginia | Other | 4839227 |
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