Olde Virginia Pharmacy, Inc.

LBN: Olde Virginia Pharmacy, Inc.
Olde Virginia Pharmacy, Inc. is an health care organization with primary practice located at 1592 Fincastle Tpke , Tazewell VA 24651-6167. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Olde Virginia Pharmacy, Inc. can be contacted via phone (276) 988-7977, or through Cole, Scott via phone (276) 988-7977.

Contact Information

Primary practice address
1592 Fincastle Tpke Tazewell VA 24651-6167
Phone: (276) 988-7977
Fax: (276) 988-7469
Website:
Map and Directions
Authorized official contact:
Name: Cole, Scott PHARMD
Phone: (276) 988-7977

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003318 Virginia

Profile Details

NPI number 1174620918
LBN Legal business name Olde Virginia Pharmacy, Inc.
DBA Doing business as Olde Virginia Pharmacy, Inc.
Authorized official Cole, Scott PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 2nd, 2020 - about 4 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 1174620918 NPPES
Other 2106896 PK
MEDICAID 8507473 PK

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