Organization
PROCARE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE KAY WEST RPH (PHARMACIST IN CHARGE)
(304) 592-2680
Entity
Organization
Contact information
Practice address
720 PIKE ST, SHINNSTON, WV 26431-1435
(304) 592-2680
(304) 592-2684
Mailing address
720 PIKE ST, SHINNSTON, WV 26431-1435
(304) 592-2680
(304) 592-2684
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552301
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003088000
—
WV
Enumeration date
04/12/2007
Last updated
02/27/2015
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