Organization
CITY CENTER PHARMACY INC
Active
Other names
CITY CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BARISCH RPH (PHARM AND OWNER)
(304) 344-8021
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, STE 101, CHARLESTON, WV 25301-1619
(304) 346-2006
(304) 344-0655
Mailing address
331 LAIDLEY ST, STE 101, CHARLESTON, WV 25301-1619
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
SP0552269
WV
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011806
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6001226000
—
WV
Enumeration date
11/03/2006
Last updated
09/11/2025
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