Organization
BRX LLC
Active
Other names
Champion Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC B. BELLDINA RPH (MEMBER)
(304) 276-5066
Entity
Organization
Contact information
Practice address
319 S VIRGINIA AVE, BRIDGEPORT, WV 26330-1744
(304) 842-7979
(304) 848-9797
Mailing address
38 LONE PINE DR, MASONTOWN, WV 26542-8604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
09/25/2020
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