Organization
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
Whitesville Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LETITIA ANN WEAVER-SCITES (CREDENTIALING COORDINATOR)
(304) 824-5806
Entity
Organization
Contact information
Practice address
37456 COAL RIVER RD, WHITESVILLE, WV 25209-9077
(681) 505-0006
(304) 854-2054
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5885
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2455-1942
BUSINESS LICENSE
WV
Enumeration date
02/02/2024
Last updated
02/02/2024
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