Organization
LOOP PLAZA PHARMACY CO INC
Active
Other names
LOOP COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MCFARLAND RPH (OWNER)
(304) 720-7867
Entity
Organization
Contact information
Practice address
4918 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 720-7866
(304) 720-7868
Mailing address
PO BOX 480, SAINT ALBANS, WV 25177-0480
(304) 722-2233
(304) 727-2299
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
MP0550920
WV
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007930
—
WV
01
—
5054426
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2006
Last updated
11/16/2010
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