Organization
GREENBRIER MEDICAL ARTS PHARMACY INC
Active
Other names
Greenbrier Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN HAGER (CORPORATE OFFICE MANAGER)
(304) 793-3981
Entity
Organization
Contact information
Practice address
128 COMMUNITY LN, WHITE SULPHUR SPRINGS, WV 24986-1105
(304) 536-2454
(304) 536-1335
Mailing address
3558 JEFFERSON ST N STE 1, LEWISBURG, WV 24901-5730
(304) 645-5547
(304) 645-5549
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138032
PK
—
05
—
3810025754
—
WV
Enumeration date
12/18/2006
Last updated
03/15/2017
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