Organization
COMMUNITY CARE PHARMACY OF WEST VIRGINIA INC
Active
Other names
Community Care Pharmacy of Buckhannon
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE JOHNSTON (CFO)
(304) 924-6262
Entity
Organization
Contact information
Practice address
37 W MAIN ST, BUCKHANNON, WV 26201-2235
(304) 472-1712
(304) 472-1715
Mailing address
37 W MAIN ST, BUCKHANNON, WV 26201-2235
(304) 472-1712
(304) 472-1715
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552427
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168314
PK
—
Enumeration date
03/10/2017
Last updated
07/19/2018
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