Organization
CLINIC PHARMACY OF PRINCETON INC
Active
Other names
CLINIC PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BAY RPH (PRESIDENT)
(304) 425-9591
Entity
Organization
Contact information
Practice address
508 NEW HOPE RD, SUITE 101, PRINCETON, WV 24740-2265
(304) 425-9591
(304) 425-5609
Mailing address
508 NEW HOPE RD, SUITE 101, PRINCETON, WV 24740-2265
(304) 425-9591
(304) 425-5609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550037
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008503575
—
VA
01
—
2111564
PK
—
05
—
3810003696
—
WV
Enumeration date
09/20/2006
Last updated
04/04/2013
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