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Organization

CHARLIES PHARMACY INC

Active
Other names
CHARLIES PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
EVA BURNS RPH (PRES)
(304) 732-6969
Entity
Organization

Contact information

Practice address
233 MAIN ST, PINEVILLE, WV 24874
(304) 732-6969
(304) 732-6866
Mailing address
PO BOX 397, PINEVILLE, WV 24874-0397

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0551195
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140930000
WV
01
5010258
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/02/2006
Last updated
02/01/2008
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