Organization
MACE'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH RICHARD MACE III R. PH. (PRESIDENT PHARMACIST)
(304) 457-4233
Entity
Organization
Contact information
Practice address
440 S MAIN ST, PHILIPPI, WV 26416-0015
(304) 457-4233
(304) 457-6760
Mailing address
440 S MAIN ST, PHILIPPI, WV 26416-0015
(304) 457-4233
(304) 457-6760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
SP0552281
WV
333600000X
Pharmacy
Primary
SP0552352
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003030000
—
WV
Enumeration date
06/04/2006
Last updated
03/21/2015
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