Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Parent organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Other names
Community Care Pharmacy of Weston
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Authorized official
MR. RICHARD G. SIMON (CEO)
(304) 924-6262
Entity
Organization
Contact information
Practice address
107 STAUNTON DR, WESTON, WV 26452
(304) 269-9555
(304) 269-8409
Mailing address
107 STAUNTON DR, WESTON, WV 26452-5604
(304) 269-9555
(304) 269-8409
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
SPO552482
WV
Other
Enumeration date
12/19/2014
Last updated
02/13/2019
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