Organization
THE PHARMACY
Active
Other names
The Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HELOISE SWANEPOEL (PIC)
(304) 541-9015
Entity
Organization
Contact information
Practice address
15041 MCCORKLE AVE, CABIN CREEK, WV 25035
(304) 595-9500
(304) 595-4114
Mailing address
PO BOX 479, CABIN CREEK, WV 25035-0479
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552471
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145130
PK
—
Enumeration date
04/15/2014
Last updated
04/15/2014
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