Organization
RIDER PHARMACY GROUP
Active
Parent organization
RIDER PHARMACY INC.
Other names
Rider Pharmacy Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDER PHARMACY INC.
Authorized official
MRS. DEBRA A SLATES RPH,CDE (CLINICAL PHARMACIST)
(304) 366-2710
Entity
Organization
Contact information
Practice address
303 MERCHANT ST, FAIRMONT, WV 26554-5213
(304) 366-2710
(304) 366-3201
Mailing address
303 MERCHANT ST, FAIRMONT, WV 26554-5213
(304) 366-2710
(304) 366-3201
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3975
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142252000
—
WV
Enumeration date
02/14/2014
Last updated
02/14/2014
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