Organization
HURLEY DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MCNAMEE (OWNER)
(304) 235-3535
Entity
Organization
Contact information
Practice address
210 LOGAN ST, WILLIAMSON, WV 25661
(304) 235-3535
(304) 235-1258
Mailing address
PO BOX 220, WILLIAMSON, WV 25661-0220
(304) 235-3535
(304) 235-1258
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0550134
WV
3336C0004X
Compounding Pharmacy
SP0550134
WV
3336H0001X
Home Infusion Therapy Pharmacy
SP0550134
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141986000
—
WV
05
—
5469002900
—
KY
Enumeration date
12/11/2006
Last updated
06/08/2015
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