Organization
BOONE MEMORIAL HOSPITAL, INC
Active
Parent organization
BOONE MEMORIAL HOSPITAL, INC.,
Other names
BMH OUTPATIENT PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOONE MEMORIAL HOSPITAL, INC.,
Authorized official
DAVID H GRESHAM (CHIEF DEVELOPMENT OFFICER)
(304) 369-2932
Entity
Organization
Contact information
Practice address
697 MADISON AVENUE, SUITE B, MADISON, WV 25130-2513
(304) 369-1230
(304) 369-1525
Mailing address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
(304) 369-1525
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
WV
3336C0003X
Community/Retail Pharmacy
Primary
—
WV
3336H0001X
Home Infusion Therapy Pharmacy
—
WV
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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