Organization
HPC SPECIALTY RX WEST VIRGINIA INC
Active
Other names
HPC Specialty Rx West Virginia Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAS SHOEMAKER (CFO / OWNER)
(800) 757-9192
Entity
Organization
Contact information
Practice address
118 LAFAYETTE AVE STE 200, MOUNDSVILLE, WV 26041-1029
(800) 757-9192
(855) 813-0583
Mailing address
6423 SHELBY VIEW DR STE 104, MEMPHIS, TN 38134-7614
(800) 757-9192
(855) 813-0583
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
SP0552505
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063879096
—
WV
01
—
2157693
PK
—
Enumeration date
01/21/2016
Last updated
09/25/2025
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