Organization
NEW HAVEN HEALTH-AID PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY LADAWN CLARK CPHT (HUMAN RESOURCES)
(740) 645-4941
Entity
Organization
Contact information
Practice address
307 5TH ST, NEW HAVEN, WV 25265
(304) 882-2005
Mailing address
307 5TH ST, NEW HAVEN, WV 25265-4100
(304) 882-2005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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