Legacy Consultant Pharmacy
LBN: The Drug Store Inc
Legacy Consultant Pharmacy is an health care organization with primary practice located at 3064 Salem Industrial Dr , Winston Salem NC 27127-8854. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
The Drug Store Inc can be contacted via phone (336) 831-0500, or through Holland, Darrell via phone (888) 729-0729.
Contact Information
Primary practice address
3064 Salem Industrial Dr
Winston Salem NC 27127-8854
Phone: (336) 831-0500
Fax: (855) 760-7126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 12913 | North Carolina |
Profile Details
| NPI number | 1285670174 |
|---|---|
| LBN Legal business name | The Drug Store Inc |
| DBA Doing business as | Legacy Consultant Pharmacy |
| Authorized official | Holland, Darrell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | May 9th, 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 | 1285670174 | NPPES |
| North Carolina | MEDICAID | 0347064 | |
| North Carolina | Other | 2069115 | |
| North Carolina | MEDICAID | 8519412 |
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