Organization
MAIN STREET PHARMACY, INC.
Active
Other names
Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWED ALI SHERWANI RPH (OWNER)
(304) 465-7200
Entity
Organization
Contact information
Practice address
435 W MAIN ST, OAK HILL, WV 25901
(304) 465-7200
(304) 465-0377
Mailing address
435 W MAIN ST, OAK HILL, WV 25901
(304) 465-7200
(304) 465-0377
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020031000
—
WV
Enumeration date
05/10/2006
Last updated
09/04/2014
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