Organization
CLENDENIN PHARMACY INC
Active
Other names
CLENDENIN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ORE RPH (PRES)
(304) 548-5451
Entity
Organization
Contact information
Practice address
10 MAIN ST, CLENDENIN, WV 25045
(304) 548-5451
(304) 548-5765
Mailing address
PO BOX 698, CLENDENIN, WV 25045-0698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550759
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143182000A
—
WV
01
—
2109367
PK
—
Enumeration date
12/27/2006
Last updated
01/18/2017
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