Stony Creek Pharmacy

LBN: Stony Creek Community Health Center
Stony Creek Pharmacy is an health care organization with primary practice located at 12451 Main Street , Stony Creek VA 23882. 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. Stony Creek Community Health Center can be contacted via phone (434) 246-5191, or through Elder, Lucy via phone (434) 246-6100.

Contact Information

Primary practice address
12451 Main Street Stony Creek VA 23882
Fax: (434) 246-3607
Website:
Authorized official contact:
Name: Elder, Lucy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201001580 Virginia

Profile Details

NPI number 1538268404
LBN Legal business name Stony Creek Community Health Center
DBA Doing business as Stony Creek Pharmacy
Authorized official Elder, Lucy
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2006
Last updated Oct 18th, 2022 - about 3 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 1538268404 NPPES
Virginia MEDICAID 10036267
Virginia MEDICAID 010036267
Virginia Other 4809820

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