Organization
WESTERN GREENBRIER PHARMACY INC
Active
Other names
WESTERN GREENBRIER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WEED R.PH. (OWNER)
(304) 392-6348
Entity
Organization
Contact information
Practice address
356 NICHOLAS ST., RUPERT, WV 25984-0596
(304) 392-6348
(304) 392-6350
Mailing address
PO BOX 596, RUPERT, WV 25984-0596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550080
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139165000
—
WV
01
—
2110371
PK
—
Enumeration date
09/13/2006
Last updated
06/21/2016
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