Victory Distributors Llc
LBN: Victory Distributors Llc
Victory Distributors Llc is an health care organization with primary practice located at 255 Joseph E Warner Blvd , Taunton MA 02780. 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 (508) 824-1057, or through Vail, Michael via phone (207) 885-7454.
Contact Information
Primary practice address
255 Joseph E Warner Blvd
Taunton MA 02780
Phone: (508) 824-1057
Fax: (508) 822-0140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | DS89697 | Massachusetts |
Profile Details
| NPI number | 1790893170 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790893170 | NPPES |
| Other | 2039562 | PK | |
| MEDICAID | 0497584 | PK |
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