Organization
MEADOW RIVER HEALTH CARE ASSOCIATES INC
Active
Other names
Craigsville Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BURR (PRESIDENT/OWNER)
(304) 742-6040
Entity
Organization
Contact information
Practice address
18077 WEBSTER RD., CRAIGSVILLE, WV 26205
(304) 742-6040
(304) 742-6044
Mailing address
512 MAIN ST, RAINELLE, WV 25962-1241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552389
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5054995
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/27/2009
Last updated
02/13/2015
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