Organization
4 GUYZ LLC
Active
Other names
Preston Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEMASTERS PHARM.D. (MEMBER)
(304) 329-6979
Entity
Organization
Contact information
Practice address
17548 VETERANS MEMORIAL HWY, SUITE P, KINGWOOD, WV 26537-9797
(304) 329-6979
(304) 329-6631
Mailing address
17548 VETERANS MEMORIAL HWY, SUITE P, KINGWOOD, WV 26537-9797
(304) 329-6979
(304) 329-6631
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552486
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145810
PK
—
Enumeration date
05/19/2014
Last updated
10/05/2015
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