# FCI BECKLEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FCI Beckley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467762351
- **Authorized official:** KEVIN THOMPSON (HEALTH SERVICES ADMINISTRATOR)
- **Authorized official phone:** (304) 252-9758

## Contact information

- **Practice address:** 1600 INDUSTRIAL PARK RD, BEAVER, WV 25813-9529
- **Practice address phone:** (304) 252-9758
- **Mailing address:** 1600 INDUSTRIAL PARK RD, BEAVER, WV 25813-9529
- **Mailing address phone:** (304) 252-9758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5055327 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
