Organization
COMMUNITY CARE OF WEST VIRGINIA, INC.
Active
Other names
Community Care Pharmacy of Bridgeport
Organization subpart
No
Provider details
NPI number
Authorized official
DORA L POTASNIK (CREDENTIALING COORDINATOR)
(304) 317-7275
Entity
Organization
Contact information
Practice address
100 MARKET PL, BRIDGEPORT, WV 26330-9168
(304) 848-5774
(304) 848-5794
Mailing address
100 MARKET PL, BRIDGEPORT, WV 26330-9168
(304) 848-5774
(304) 848-5794
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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