Organization
VAN PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN ANITA MOORE (OWNER)
(304) 245-8255
Entity
Organization
Contact information
Practice address
19024 POND FORK ROAD, VAN, WV 25206
(304) 245-8255
(304) 245-8133
Mailing address
19024 POND FORK ROAD, PO BOX 450, VAN, WV 25206
(304) 245-8255
(304) 245-8133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139529000
—
WV
Enumeration date
08/02/2005
Last updated
01/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up