Organization
HIGHLAWN PREFERRED PHARMACY
Active
Other names
Highlawn Preferred Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BAFFOUR AGYARE (PHARMACIST)
(304) 522-6304
Entity
Organization
Contact information
Practice address
2828 1ST AVE, SUITE 203, HUNTINGTON, WV 25702-1236
(304) 522-6304
(304) 522-6399
Mailing address
2828 1ST AVE, SUITE 203, HUNTINGTON, WV 25702-1236
(304) 522-6304
(304) 522-6399
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552415
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5055442
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/31/2011
Last updated
03/31/2011
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