Organization
SUNCREST PHARMACY INC
Active
Other names
SUNCREST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MONTI RPH (VP/SEC/TRES)
(304) 599-2159
Entity
Organization
Contact information
Practice address
3121 UNIVERSITY AVE, MORGANTOWN, WV 26505-3238
(304) 599-2159
(304) 599-4408
Mailing address
3121 UNIVERSITY AVE, MORGANTOWN, WV 26505-3238
(304) 599-2159
(304) 599-4408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550277
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142311000
—
WV
01
—
2109413
PK
—
Enumeration date
12/26/2006
Last updated
03/16/2015
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