Organization
WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC
Active
Other names
Parkersburg Family Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SNYDER (CEO)
(304) 275-8780
Entity
Organization
Contact information
Practice address
2610 CAMDEN AVE, PARKERSBURG, WV 26101-5652
(304) 917-3739
(304) 917-3751
Mailing address
2610 CAMDEN AVE, PARKERSBURG, WV 26101-5652
(304) 917-3739
(304) 917-3751
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552422
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157359
PK
—
Enumeration date
01/07/2016
Last updated
01/17/2017
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