Organization
COMMUNITY CARE OF WEST VIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JENKINS (CFO)
(304) 472-5600
Entity
Organization
Contact information
Practice address
5851 MASON DIXON HWY, BLACKSVILLE, WV 26521
(304) 432-8268
(304) 432-8258
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
(304) 924-6784
(304) 924-6891
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552380
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116690
PK
—
Enumeration date
08/25/2008
Last updated
07/20/2026
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