Organization
POCA VALU-RITE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAC BROWN (PHARMACIST)
(304) 755-1500
Entity
Organization
Contact information
Practice address
119C MAIN STREET, POCA, WV 25159
(304) 755-1500
Mailing address
119-C MAIN STREET, PO BOX 962, POCA, WV 25159
(304) 755-1500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0551221
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141141000
—
WV
Enumeration date
01/26/2007
Last updated
08/22/2020
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