Organization
WELLMONT HEALTH SYSTEM
Active
Other names
THE BIG STONE GAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAY WRIGHT RPH (PRMCT DIRECTOR)
(276) 523-8702
Entity
Organization
Contact information
Practice address
1980 HOLTON AVE E # 1, BIG STONE GAP, VA 24219-3366
(276) 523-8702
(276) 523-8750
Mailing address
1980 HOLTON AVE E # 1, BIG STONE GAP, VA 24219-3366
(276) 523-8702
(276) 523-8750
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201002998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4826547
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54032909
—
KY
05
—
8543909
—
VA
Enumeration date
08/10/2006
Last updated
08/08/2011
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