Organization
MAIN STREET PHARMACY INC
Active
Parent organization
MAIN STREET PHARMACY, INC.
Other names
Clark's Family Pharmacy Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAIN STREET PHARMACY, INC.
Authorized official
CAROL A JONES (MANAGER)
(304) 465-7200
Entity
Organization
Contact information
Practice address
4501 MACCORKLE AVE SW STE 101, SOUTH CHARLESTON, WV 25309-1444
(304) 766-8484
(304) 766-8344
Mailing address
4501 MACCORKLE AVE SW STE 101, SOUTH CHARLESTON, WV 25309-1444
(304) 766-8484
(304) 766-8344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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