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Organization

EBENEZER MEDICAL OUTREACH INC

Active
Other names
Ebenezer Medical Outreach, INC
Organization subpart
No

Provider details

NPI number
Authorized official
GINA FINLEY (PIC)
(304) 529-0753
Entity
Organization

Contact information

Practice address
1448 10TH AVE, HUNTINGTON, WV 25701-3581
(304) 529-0753
(304) 529-0591
Mailing address
1448 10TH AVE, HUNTINGTON, WV 25701-3581
(304) 529-0753
(304) 529-0591

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
CC0559059
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2142452
PK
Enumeration date
09/11/2013
Last updated
11/06/2013
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