Organization
DANVILLE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ALAN MOLES PHARM. D (OWNER)
(304) 369-3981
Entity
Organization
Contact information
Practice address
2008 SMOOT AVE, DANVILLE, WV 25053
(304) 369-3981
(304) 269-3983
Mailing address
PO BOX 462, DANVILLE, WV 25053-0462
(304) 369-3981
(304) 369-3983
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
SP0552186
WV
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141570000
—
WV
01
—
5011008
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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