Organization
PLEASANT VALLEY PHARMACY
Active
Other names
PLEASANT VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN HOFFMAN RPH (RX MANAGER)
(304) 363-0568
Entity
Organization
Contact information
Practice address
49 VIP WAY, FAIRMONT, WV 26554
(304) 366-3145
(304) 363-8485
Mailing address
49 VIP WAY, FAIRMONT, WV 26554
(304) 366-3145
(304) 363-8485
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552341
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111586
PK
—
05
—
3810006802
—
WV
Enumeration date
09/06/2006
Last updated
07/15/2016
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