# CAMDEN ON GAULEY MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camden Family Pharmacy-Richwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386377042
- **Authorized official:** SHANNA STRADER (HR MANAGER)
- **Authorized official phone:** (304) 226-5725

## Contact information

- **Practice address:** 16 W MAIN ST, RICHWOOD, WV 26261-1008
- **Practice address phone:** (304) 226-5725
- **Practice address fax:** (304) 226-3274
- **Mailing address:** 10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
- **Mailing address phone:** (304) 226-5725
- **Mailing address fax:** (304) 226-3274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 07/08/2022
