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
Phone: (434) 246-5191
Fax: (434) 246-3607
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538268404 | NPPES |
Virginia | MEDICAID | 10036267 | |
Virginia | MEDICAID | 010036267 | |
Virginia | Other | 4809820 |
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