Organization
CVS/PHARMACY
Active
Other names
1308
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN C MANN JR. DM (DISTRICT MANAGER)
(700) 600-1524
Entity
Organization
Contact information
Practice address
46 MIDDLEWAY PIKE, INWOOD, WV 25428-3713
(304) 229-4318
(304) 229-1794
Mailing address
46 MIDDLEWAY PIKE, INWOOD, WV 25428-3713
(304) 229-4318
(304) 229-1794
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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