Organization
GOMPERS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GOMPERS (PRESIDENT)
(304) 234-0002
Entity
Organization
Contact information
Practice address
2202 CHAPLINE STREET, WHEELING, WV 26003
(304) 234-0002
Mailing address
2202 CHAPLINE STREET, WHEELING, WV 26003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0551220
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141134000
—
WV
Enumeration date
10/20/2006
Last updated
03/11/2008
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