Organization
EPPY'S IV, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E BACHO RPH (PART OWNER, IV MANAGER, PHARMACIST)
(304) 252-6332
Entity
Organization
Contact information
Practice address
2987 A ROBERT C. BYRD DRIVE, BECKLEY, WV 25801
(304) 252-6332
(304) 252-0145
Mailing address
2987 A ROBERT C. BYRD DRIVE, BECKLEY, WV 25801
(304) 252-6332
(304) 252-0145
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
WV
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144296000
—
WV
01
—
5010854
NABP #
WV
Enumeration date
06/10/2005
Last updated
06/03/2024
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