Organization
KANAWHA CITY HEALTH CENTER PHARMACY
Active
Parent organization
CABIN CREEK HEALTH CENTER INC
Other names
Kanawha City Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CABIN CREEK HEALTH CENTER INC
Authorized official
ANGELA GRACE STONE RPH (LEAD PHARMACIST)
(681) 205-8730
Entity
Organization
Contact information
Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 205-7534
(304) 205-7548
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552477
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910006004
—
WV
Enumeration date
05/08/2013
Last updated
07/16/2025
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