Organization
FCI BECKLEY
Active
Other names
FCI Beckley
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN THOMPSON (HEALTH SERVICES ADMINISTRATOR)
(304) 252-9758
Entity
Organization
Contact information
Practice address
1600 INDUSTRIAL PARK RD, BEAVER, WV 25813-9529
(304) 252-9758
Mailing address
1600 INDUSTRIAL PARK RD, BEAVER, WV 25813-9529
(304) 252-9758
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5055327
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/14/2010
Last updated
10/14/2010
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