Organization
PENDLETON COMMUNITY CARE, INC.
Active
Other names
Pill Box Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HUDSON RPH (CEO)
(304) 358-2355
Entity
Organization
Contact information
Practice address
203 N MAIN STREET, FRANKLIN, WV 26807
(304) 358-2887
(304) 358-3149
Mailing address
PO BOX 189, FRANKLIN, WV 26807-0189
(304) 358-2887
(304) 358-3149
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552383
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119084
PK
—
05
—
3810014185
—
WV
Enumeration date
10/02/2006
Last updated
08/12/2016
Update your record
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