Organization
TOWN & COUNTRY DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY W. WILLIAMS RPH (RPH/OWNER)
(304) 624-5433
Entity
Organization
Contact information
Practice address
8048 WATER ST, STONEWOOD, WV 26301-7709
(304) 624-5433
(304) 624-9343
Mailing address
8048 WATER ST, STONEWOOD, WV 26301-7709
(304) 624-5433
(304) 624-9343
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
WV
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142329000
—
WV
Enumeration date
01/11/2006
Last updated
07/21/2022
Update your record
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