Organization
WEST VIRGINIA UNIVERSITY HOSPITALS INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRACE (PRESIDENT)
(304) 598-4848
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4848
(304) 598-6382
Mailing address
PO BOX 8100, MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-8100
(304) 598-4848
(304) 598-6382
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
SP0550189
WV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054045
—
OH
05
—
0144432000
—
WV
05
—
1007552330009
—
PA
01
—
2109860
PK
—
05
—
332306400
—
MD
Enumeration date
09/07/2005
Last updated
04/25/2025
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