Organization
PRESCRIPTION SHOP LLC
Active
Other names
THE PRESCRIPTION SHOP LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM JOSEPH STARKEY RPH (OWNER)
(304) 842-3763
Entity
Organization
Contact information
Practice address
1212 JOHNSON AVE, BRIDGEPORT, WV 26330-1354
(304) 842-3763
(304) 842-7648
Mailing address
PO BOX 4638, BRIDGEPORT, WV 26330-4638
(304) 842-3763
(304) 842-7648
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552384
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142324000
—
WV
01
—
5001021
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
04/05/2012
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