Organization
RAVENSWOOD PHARMACY LLC
Active
Other names
Ravenswood Drug
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ZATTA (OWNER)
(740) 593-0204
Entity
Organization
Contact information
Practice address
408 WASHINGTON ST, RAVENSWOOD, WV 26164-1706
(304) 440-4410
(304) 440-4412
Mailing address
408 WASHINGTON ST, RAVENSWOOD, WV 26164-1706
(304) 440-4410
(304) 440-4412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552458
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142481
PK
—
Enumeration date
10/11/2013
Last updated
02/24/2017
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