Organization
CLARKS PHARMACY OF SALTVILLE INC
Active
Other names
Clark's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HYLTON PHARMD (OWNER)
(276) 496-7211
Entity
Organization
Contact information
Practice address
402 PALMER AVENUE, P.O. DRAWER S, SALTVILLE, VA 24370
(276) 496-7211
(276) 496-5005
Mailing address
PO BOX S, SALTVILLE, VA 24370-1149
(276) 496-7211
(276) 496-5005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000116
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008501190
—
VA
01
—
2102851
PK
—
Enumeration date
07/09/2006
Last updated
01/29/2021
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