Organization
MEDICAL ASSOCIATES PHARMACY INC
Active
Other names
MEDICAL ASSOCIATES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CORONATO (CONTROLLER)
(304) 736-4608
Entity
Organization
Contact information
Practice address
3 CHATEAU LN, STE 3, BARBOURSVILLE, WV 25504-1627
(304) 736-9442
(304) 302-0598
Mailing address
PO BOX 245, BARBOURSVILLE, WV 25504-0245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552262
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011654
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8500089000
—
WV
Enumeration date
08/22/2007
Last updated
03/31/2009
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