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Organization

CLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW

Active
Parent organization
CABIN CREEK HEALTH CENTER INC
Other names
Riverview Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CABIN CREEK HEALTH CENTER INC
Authorized official
ANGELA GRACE STONE RPH (LEAD PHARMACIST)
(681) 205-8730
Entity
Organization

Contact information

Practice address
107 KOONTZ AVE, CLENDENIN, WV 25045
(304) 548-7272
(304) 548-7149
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810021493
WV
01
MP0552393
PHARMACY LICENSE
WV
Enumeration date
05/31/2011
Last updated
07/16/2025
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  • Eligibility checks
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