Organization
CAMDEN ON GAULEY MEDICAL CENTER INC
Active
Other names
Camden On Gauley Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HICKEY (CEO)
(304) 226-5725
Entity
Organization
Contact information
Practice address
10003 WEBSTER RD., CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Mailing address
PO BOX 69, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP0005879
WV
3336C0002X
Clinic Pharmacy
Primary
SP0550588
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0550588
REGISTERED PHARMACY PERMI
WV
Enumeration date
02/05/2007
Last updated
03/07/2023
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