Organization
HOGE DAVIS DRUG CO
Active
Parent organization
HOGE DAVIS DRUG CO
Other names
Elm Grove Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOGE DAVIS DRUG CO
Authorized official
ANTHONY ANGELO MARTINO RPH. (PRESIDENT/PHARMACIST-IN-CHARGE)
(304) 242-1500
Entity
Organization
Contact information
Practice address
102 EAST BETHLEHEM BLVD, WHEELING, WV 26003-4866
(304) 242-1500
(304) 242-6889
Mailing address
102 EAST BETHLEHEM BLVD, WHEELING, WV 26003-4866
(304) 242-1500
(304) 242-6889
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550123
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141960000
—
WV
01
—
5000930
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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