Organization
PHARMACOLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TURNER (PHARMACIST)
(304) 845-0390
Entity
Organization
Contact information
Practice address
13030 SHORTLINE HWY, PINE GROVE, WV 26419-8291
(304) 889-3131
(304) 889-3315
Mailing address
PO BOX 367, PINE GROVE, WV 26419-0367
(304) 889-3131
(304) 889-3315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552510
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168726
PK
—
Enumeration date
04/11/2017
Last updated
12/29/2020
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