Organization
UNITED HOSPITAL CENTER INC
Active
Other names
United Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TILLMAN PHARMD (PRESIDENT & CEO)
(681) 342-1600
Entity
Organization
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1580
(681) 342-1588
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1580
(681) 342-1588
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552408
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125826
PK
—
Enumeration date
07/16/2010
Last updated
04/27/2015
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