Organization
SMVG INC
Active
Other names
ROSS DRUG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL KARNATI (MANAGER)
(304) 824-5000
Entity
Organization
Contact information
Practice address
8119 COURT AVE, HAMLIN, WV 25523-1402
(304) 824-4500
(304) 824-4502
Mailing address
PO BOX 541, HAMLIN, WV 25523-0541
(304) 824-4500
(304) 824-4502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552425
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285177592
—
WV
01
—
2166379
PK
—
Enumeration date
11/18/2016
Last updated
03/29/2017
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