Organization
RAINELLE MEDICAL CENTER, INC.
Active
Other names
RAINELLE MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID YOAKUM PHARMD, CDE (DIRECTOR OF PHARMACY)
(304) 438-6188
Entity
Organization
Contact information
Practice address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6186
(304) 438-6185
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6186
(304) 438-6185
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0551235
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035037003
—
WV
01
—
2111220
PK
—
Enumeration date
09/21/2006
Last updated
02/20/2017
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