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Organization
NEW RIVER HEALTH ASSOCIATION, INC.
Active
Organization
NEW RIVER HEALTH ASSOCIATION, INC.
Active
Other names
New River Health Pharmacy - Lester Square, New River Health Pharmacy - Sophia, Gulf Family Practice Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA JOHNSON (CREDENTIALING)
(304) 469-2905
Entity
Organization
Contact information
Practice address
821 ROBERT C. BYRD DR., SOPHIA, WV 25921
(304) 683-3809
(304) 683-5761
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
SO0552404
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0552404
BOARD OF PHARMACY
WV
Enumeration date
05/17/2010
Last updated
01/27/2026
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