Victory Distributors Llc

LBN: Victory Distributors Llc
Victory Distributors Llc is an health care organization with primary practice located at 201 John Devine Dr , Manchester NH 03103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Victory Distributors Llc can be contacted via phone (603) 626-1233, or through Vail, Michael via phone (207) 885-7454.

Contact Information

Primary practice address
201 John Devine Dr Manchester NH 03103
Fax: (603) 626-3002
Website:
Authorized official contact:
Name: Vail, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0366 New Hampshire

Profile Details

NPI number 1063520443
LBN Legal business name Victory Distributors Llc
DBA Doing business as
Authorized official Vail, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2006
Last updated Apr 20th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063520443 NPPES
Other 2053050 PK
MEDICAID 3080814 PK
MEDICAID 30005022 PK

Popular Providers