Organization
MONTGOMERY GENERAL HOSPITAL, INC
Active
Parent organization
MONTGOMERY GENERAL HOSPITAL, INC
Other names
MGH Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY GENERAL HOSPITAL, INC
Authorized official
DONNA RAYNES (ADMINISTRATION)
(304) 442-5151
Entity
Organization
Contact information
Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-5151
(304) 442-7494
Mailing address
PO BOX 270, MONTGOMERY, WV 25136-0270
(304) 442-5151
(304) 442-7494
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/25/2023
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