Organization
CHARLIES PHARMACY INC
Active
Other names
CHARLIES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EVA BURNS RPH (PRES)
(304) 294-5447
Entity
Organization
Contact information
Practice address
224 HOWARD AVE, MULLENS, WV 25882-1421
(304) 294-5447
(304) 294-5314
Mailing address
PO BOX 788, MULLENS, WV 25882-0788
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
SP0550878
WV
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143624000
—
WV
01
—
5007580
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
09/11/2025
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