Medical Village Pharmacy, Inc.
LBN: Medical Village Pharmacy, Inc.
Medical Village Pharmacy, Inc. is an health care organization with primary practice located at 815 Fairgrove Church Rd , Conover NC 28613-8609. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medical Village Pharmacy, Inc. can be contacted via phone (828) 322-4505, or through Shokes, Ronald James via phone (828) 322-4505.
Contact Information
Primary practice address
815 Fairgrove Church Rd
Conover NC 28613-8609
Phone: (828) 322-4505
Fax: (828) 322-2669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 3132 | North Carolina |
Profile Details
| NPI number | 1083672059 |
|---|---|
| LBN Legal business name | Medical Village Pharmacy, Inc. |
| DBA Doing business as | |
| Authorized official | Shokes, Ronald James RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | May 24th, 2011 - about 13 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 | 1083672059 | NPPES |
| North Carolina | MEDICAID | 0185355 |
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