Organization
MACES PHARMACY INC
Active
Other names
Mace's Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH MACE (PHARMACIST/OWNER)
(304) 457-4233
Entity
Organization
Contact information
Practice address
204 S CRIM AVE, BELINGTON, WV 26250-9662
(304) 823-1001
(304) 823-1006
Mailing address
204 S CRIM AVE, BELINGTON, WV 26250-9662
(304) 823-1001
(304) 823-1006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552398
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134929
PK
—
05
—
3810023142
—
WV
Enumeration date
04/30/2012
Last updated
12/11/2014
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