Mt Jackson Drug Store
LBN: Mt Jackson Drug Store Inc
Mt Jackson Drug Store is an health care organization with primary practice located at 5350 Main St , Mount Jackson VA 22842-9511. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mt Jackson Drug Store Inc can be contacted via phone (540) 477-3101, or through Fansler, James via phone (540) 477-3101.
Contact Information
Primary practice address
5350 Main St
Mount Jackson VA 22842-9511
Phone: (540) 477-3101
Fax: (540) 477-4039
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201002587 | Virginia |
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1346322120 |
---|---|
LBN Legal business name | Mt Jackson Drug Store Inc |
DBA Doing business as | Mt Jackson Drug Store |
Authorized official | Fansler, James |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 20th, 2006 |
Last updated | Aug 16th, 2016 - 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 | 1346322120 | NPPES |
Other | 2102235 | PK | |
MEDICAID | 010078059 | PK |
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