Southern Village Pharmacy
LBN: Southern Village Pharmacy Inc
Southern Village Pharmacy is an health care organization with primary practice located at 300 Market St Suite 114, Chapel Hill NC 27516-4493. 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.
Southern Village Pharmacy Inc can be contacted via phone (919) 240-4084, or through Smithwick, David via phone (919) 240-4084.
Contact Information
Primary practice address
300 Market St Suite 114
Chapel Hill NC 27516-4493
Phone: (919) 240-4084
Fax: (919) 724-4568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 11405 | North Carolina |
Profile Details
| NPI number | 1033456371 |
|---|---|
| LBN Legal business name | Southern Village Pharmacy Inc |
| DBA Doing business as | Southern Village Pharmacy |
| Authorized official | Smithwick, David BS PHAM, MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 7th, 2013 |
| Last updated | Mar 29th, 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 | 1033456371 | NPPES |
| North Carolina | MEDICAID | 0685595 | |
| North Carolina | Other | 2138555 |
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