Organization
DEFELICECARE INC
Active
Other names
DeFeliceCare, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DEFELICE (PRESIDENT & CEO)
(304) 232-4210
Entity
Organization
Contact information
Practice address
76 SIXTEENTH ST, STE 200, WHEELING, WV 26003-3660
(304) 232-4210
(304) 232-4213
Mailing address
76 SIXTEENTH ST, STE 200, WHEELING, WV 26003-3660
(304) 232-4210
(304) 232-4213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SP0552381
WV
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147477001
—
WV
05
—
2171395
—
OH
01
—
5055668
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/22/2005
Last updated
01/03/2014
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