Organization
MEDICINE SHOPPE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
1513 HARRISON AVE, ELKINS, WV 26241-3356
(304) 637-4500
(304) 637-4602
Mailing address
1513 HARRISON AVE, ELKINS, WV 26241-3356
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
MP0551264
WV
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010765
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
09/11/2025
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