Organization
MINNIE HAMILTON HEALTH CARE CENTER INC
Active
Other names
MINNIE HAMILTON HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SIWICKI RPH (DIR OF PHCY)
(304) 354-9244
Entity
Organization
Contact information
Practice address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Mailing address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
SP0552285
WV
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000217600
—
WV
01
—
2109577
PK
—
Enumeration date
08/01/2006
Last updated
04/21/2016
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