Organization
GIL-CO FAITH PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE HARTSHORN PHARMD (SECRETARY)
(304) 462-8300
Entity
Organization
Contact information
Practice address
356 WV HIGHWAY 5 E, GLENVILLE, WV 26351-7602
(304) 462-8300
(304) 462-0324
Mailing address
356 WV HIGHWAY 5 E, GLENVILLE, WV 26351-7602
(304) 462-8300
(304) 462-0324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
SP0552306
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138856000
—
WV
01
—
5008241
OTHER ID NUMBER
—
05
—
5008241
—
WV
Enumeration date
09/12/2006
Last updated
11/04/2024
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