Target Pharmacy

LBN: West Virginia Cvs Pharmacy Llc
Target Pharmacy is an health care organization with primary practice located at 2070 Thundering Herd Dr , Barboursville WV 25504-2600. 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) 736-7651, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
2070 Thundering Herd Dr Barboursville WV 25504-2600
Fax: (304) 736-7651
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 552299 West Virginia

Profile Details

NPI number 1740202449
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740202449 NPPES
Other 2111483 PK
MEDICAID 6005046000 PK

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