Provider Demographics
NPI:1598498180
Name:LIGHTHOUSE COMMUNITY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:LIGHTHOUSE COMMUNITY HEALTH SERVICES, LLC
Other - Org Name:LIGHTHOUSE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-847-5050
Mailing Address - Street 1:59 GOLD HILL ELEMENTARY SCHOOL RD STE B
Mailing Address - Street 2:
Mailing Address - City:NEW CANTON
Mailing Address - State:VA
Mailing Address - Zip Code:23123-2162
Mailing Address - Country:US
Mailing Address - Phone:434-847-5050
Mailing Address - Fax:434-215-3993
Practice Address - Street 1:59 GOLD HILL ELEMENTARY SCHOOL RD STE B
Practice Address - Street 2:
Practice Address - City:NEW CANTON
Practice Address - State:VA
Practice Address - Zip Code:23123-2162
Practice Address - Country:US
Practice Address - Phone:434-581-4904
Practice Address - Fax:434-215-3993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIGHTHOUSE COMMUNITY HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-01
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy