Organization
GREGGS PHARMACY WV INC
Active
Other names
GREGGS PHARMACY, Medicine Shoppe 2099
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GREGG (TREASURER)
(301) 334-2197
Entity
Organization
Contact information
Practice address
101 GREGG MEMORIAL DRIVE, TERRA ALTA, WV 26764
(304) 789-2200
(304) 789-2641
Mailing address
101 GREGG MEMORIAL DRIVE, P.O. BOX 5, TERRA ALTA, WV 26764
(304) 789-2200
(304) 789-2641
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552373
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111737
PK
—
05
—
3810011894
—
WV
Enumeration date
04/25/2008
Last updated
09/19/2016
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