Organization
WEST VIRGINIA HEALTH CARE COOPERATIVE INC
Active
Other names
SRMC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOWLING (PRESIDENT/CWO)
(304) 872-8402
Entity
Organization
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8402
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
03/10/2019
Last updated
04/03/2019
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