Organization
PRESTON TAYLOR COMMUNITY HEALTH CENTERS INC
Active
Other names
PRESTON TAYLOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE GRIFFITH (CHIEF EXEC OFFICER)
(304) 265-0312
Entity
Organization
Contact information
Practice address
25 W BLUEMONT ST, GRAFTON, WV 26354-1242
(304) 265-7400
(304) 265-7401
Mailing address
PO BOX 188, GRAFTON, WV 26354-0188
(304) 265-7400
(304) 265-7401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552353
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111639
PK
—
05
—
3810008948
—
WV
Enumeration date
04/25/2007
Last updated
02/03/2023
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