Organization
TRIVILLIANS PHARMACY OF KANAWHA CITY
Active
Other names
TRIVILLIANS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOTOPP (OWNER)
(304) 343-0978
Entity
Organization
Contact information
Practice address
215 35TH ST SE, CHARLESTON, WV 25304-1318
(304) 343-8621
(304) 343-1015
Mailing address
215 35TH ST SE, CHARLESTON, WV 25304-1318
(304) 343-8621
(304) 343-1015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550711
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142467000
—
WV
01
—
2109364
PK
—
Enumeration date
12/21/2006
Last updated
04/09/2015
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