Organization
WITSCHEYS MARKET INC
Active
Other names
WITSCHEYS PHARMACY, Medicine Shoppe #2084
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PLAS (PHARMACY MANAGER)
(304) 455-2171
Entity
Organization
Contact information
Practice address
155 NORTH ST, NEW MARTINSVILLE, WV 26155-1330
(304) 455-2171
(304) 455-2174
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP05512167
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141933000
—
WV
05
—
2003683
—
OH
01
—
2109456
PK
—
Enumeration date
10/03/2006
Last updated
11/21/2016
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