# NEW RIVER HEALTH ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** 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:** 1609194505
- **Authorized official:** MARISSA JOHNSON (CREDENTIALING)
- **Authorized official phone:** (304) 469-2905

## Contact information

- **Practice address:** 821 ROBERT C. BYRD DR., SOPHIA, WV 25921
- **Practice address phone:** (304) 683-3809
- **Practice address fax:** (304) 683-5761
- **Mailing address:** 497 MALL RD, OAK HILL, WV 25901-6216
- **Mailing address phone:** (304) 469-2905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | SO0552404 | WV | Yes |

## Other

- **Enumeration date:** 05/17/2010
- **Last updated:** 01/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SP0552404 | BOARD OF PHARMACY | WV |