Organization
PENNSBORO FAMILY PHARMACY A LIMITED LIABILITY COMPANY
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN G ECHARD (OWNER)
(304) 659-4234
Entity
Organization
Contact information
Practice address
401 - A WEST MYLES AVENUE, PENNSBORO, WV 26415-1330
(304) 659-4234
(304) 659-4235
Mailing address
401 - A WEST MYLES AVENUE, PENNSBORO, WV 26415-1330
(304) 659-4234
(304) 659-4235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SP0552234
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010516000
—
WV
01
—
5011399
NCPDP
—
Enumeration date
08/26/2006
Last updated
05/20/2011
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