Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Other names
Community Care Pharmacy of Marlinton
Organization subpart
No
Provider details
NPI number
Authorized official
DORA L POTASNIK (CREDENTIALING COORDINATOR)
(304) 317-7275
Entity
Organization
Contact information
Practice address
821 3RD AVE, MARLINTON, WV 24954-1015
(681) 875-2221
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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