Organization
CITY PHARMACY
Active
Other names
City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M WASANYI PHARM.D (PHARMACIST)
(540) 327-6140
Entity
Organization
Contact information
Practice address
970 FOXCROFT AVE, SUITE 101, MARTINSBURG, WV 25401-1835
(304) 262-6555
(304) 262-6599
Mailing address
970 FOXCROFT AVE, SUITE 101, MARTINSBURG, WV 25401-1835
(304) 262-6555
(304) 262-6599
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27178989
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810017469
—
WV
01
—
FV96311
MEDICARE PTAN
—
Enumeration date
03/04/2010
Last updated
08/11/2014
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