Target Pharmacy
LBN: West Virginia Cvs Pharmacy Llc
Target Pharmacy is an health care organization with primary practice located at 2800 Meadowbrook Mall , Bridgeport WV 26330-9795. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
West Virginia Cvs Pharmacy Llc can be contacted via phone (304) 842-7779, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
2800 Meadowbrook Mall
Bridgeport WV 26330-9795
Phone: (304) 842-7779
Fax: (304) 842-7779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552299 | West Virginia |
Profile Details
| NPI number | 1659393353 |
|---|---|
| LBN Legal business name | West Virginia Cvs Pharmacy Llc |
| DBA Doing business as | Target Pharmacy |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jan 11th, 2016 - about 9 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 | 1659393353 | NPPES |
| Other | 2111492 | PK | |
| MEDICAID | 6005080000 | PK |
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