Organization
TIGER PHARMACY INC
Active
Other names
Chapmanville Specialty Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA HATFIELD (PHARMACIST-IN-CHARGE)
(304) 855-1300
Entity
Organization
Contact information
Practice address
68 BOISE STREET, CHAPMANVILLE, WV 25508
(304) 855-1300
(304) 855-1314
Mailing address
PO BOX 4205, CHAPMANVILLE, WV 25508-4205
(304) 855-1300
(304) 855-1314
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552440
WV
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138307
PK
—
Enumeration date
12/17/2012
Last updated
09/11/2014
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