Organization
CHANGE, INCORPORATED
Active
Other names
Family Medical Care CHC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L RAVEAUX (EXECUTIVE DIRECTOR)
(304) 797-7733
Entity
Organization
Contact information
Practice address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
(304) 797-7740
Mailing address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
(304) 797-7740
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP055237
WV
Other
Enumeration date
05/16/2007
Last updated
02/11/2008
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