Organization
CAMERON DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E OKEL JR. (OWNER)
(304) 686-2101
Entity
Organization
Contact information
Practice address
1 BRIDGE ST, CAMERON, WV 26033-1130
(304) 686-2101
Mailing address
1 BRIDGE ST, CAMERON, WV 26033-1130
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552278
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139859000
—
WV
Enumeration date
08/05/2007
Last updated
08/07/2007
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