Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HICKEY (CEO)
(304) 226-5725
Entity
Organization
Contact information
Practice address
415 MAIN ST, SUMMERSVILLE, WV 26651-1343
(304) 872-1663
(681) 355-0362
Mailing address
55 FRIENDS R FUN DR, SUMMERSVILLE, WV 26651-9514
(304) 872-1663
(681) 355-0362
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
SP0552479
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150879
PK
—
Enumeration date
04/13/2015
Last updated
07/08/2022
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