Organization
FAIRMOUNT FAMILY PHARMACY
Active
Other names
Marion Health Enterprises
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY A CHEUVRONT PHD (ASSISTANT VICE PRESIDENT)
(304) 367-7488
Entity
Organization
Contact information
Practice address
1325 LOCUST AVENUE, FAIRMOUNT, WV 26554
(304) 367-8600
(304) 367-8601
Mailing address
1325 LOCUST AVENUE, FAIRMOUNT, WV 26554
(304) 367-8600
(304) 367-8601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
MP0552253
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500030000
—
WV
Enumeration date
12/27/2005
Last updated
08/22/2020
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