Organization
CLAY FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON KEIPER (PHARMACY MANAGER)
(304) 619-3518
Entity
Organization
Contact information
Practice address
2000 MAIN STREET, CLAY, WV 25043
(304) 587-2123
(304) 587-2140
Mailing address
PO BOX 966, CLAY, WV 25043-0966
(304) 587-2123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552454
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140533
PK
—
Enumeration date
05/20/2013
Last updated
05/25/2018
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