Provider Demographics
NPI:1225265341
Name:DBS LLC
Entity Type:Organization
Organization Name:DBS LLC
Other - Org Name:PIERPONT LANDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-594-9955
Mailing Address - Street 1:7000 MID ATLANTIC DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-4292
Mailing Address - Country:US
Mailing Address - Phone:304-594-9955
Mailing Address - Fax:304-594-9009
Practice Address - Street 1:7000 MID ATLANTIC DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-4292
Practice Address - Country:US
Practice Address - Phone:304-594-9955
Practice Address - Fax:304-594-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
WVSP05523963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2120773OtherPK