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CAVALIER PHARMACY INC NPI 1568487387


NPI Information

NPI: 1568487387
Provider Name: CAVALIER PHARMACY INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 49D2117442

Address:
301 CHURCH ST
WISE, VA
ZIP 24293
Phone: (276) 328-9141
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CAVALIER PHARMACY INC is a community/retail pharmacy pharmacy in Wise, VA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CAVALIER PHARMACY INC NPI is 1568487387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 CHURCH ST
WISE, VA
ZIP 24293
Phone: (276) 328-9141
Fax: (276) 328-9130

The provider's authorized official is Rick L Mullins .
The authorized official title is Pharmacist Owner and has the following contact phone number (276) 328-9141.

The CLIA number assigned to this NPI record is 49D2117442 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 6/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist0202012914VIRGINIANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail Pharmacy0201003976VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15170610001MEDICARE NSC
2010076366MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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