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CENTRA CANCER CENTER PHARMACY LLC NPI 1871080853


NPI Information

NPI: 1871080853
Provider Name: CENTRA CANCER CENTER PHARMACY, LLC

Doing Business As: CENTRA CANCER CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1701 THOMSON DR
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-1435
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CENTRA CANCER CENTER PHARMACY, LLC is a clinic pharmacy pharmacy in Lynchburg, VA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. CENTRA CANCER CENTER PHARMACY, LLC NPI is 1871080853. The provider is registered as an organization entity type.
The provider Is Doing Business As Centra Cancer Center Pharmacy.

The provider's business location address is:

1701 THOMSON DR
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-1435
Fax: (434) 200-7508

The provider's authorized official is Tabitha Culbertson .
The authorized official title is Hospital President and has the following contact phone number (434) 200-3014.

The enumeration date for this NPI number is 4/16/2018 and was last updated on 5/26/2023.


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
1333600000XPharmacyNo
23336C0002XPharmacyClinic Pharmacy0201004828VIRGINIAYes

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
11871080853MEDICAIDVIRGINIA
22176972OTHERPK

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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