Organization
SAVALOT PHCY OF FT ASHBY INC
Active
Other names
SAVALOT PHARMACY OF FT ASHBY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DASKAL (PIC)
(304) 298-3639
Entity
Organization
Contact information
Practice address
10 WASHINGTON STREET, FT ASHBY, WV 26719
(304) 298-3639
(304) 298-4225
Mailing address
PO BOX 617, FORT ASHBY, WV 26719-0617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550020
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013882700
—
WV
01
—
2110031
PK
—
Enumeration date
01/03/2007
Last updated
08/23/2016
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