Organization
RIVESVILLE COMMUNITY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN A HOFFMAN SR. (PHARMACIST IN CHARGE--OWNER)
(304) 278-7884
Entity
Organization
Contact information
Practice address
426 MAIN ST., RIVESVILLE, WV 26588-0307
(304) 278-7884
(304) 278-7655
Mailing address
PO BOX 307, RIVESVILLE, WV 26588-0307
(304) 278-7884
(304) 278-7655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0550695
WV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142256000
—
WV
Enumeration date
07/02/2006
Last updated
06/03/2020
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