Organization
BYARD-MERCER PHARMACY INC
Active
Other names
BYARD MERCER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROGERS (PRES)
(304) 624-5679
Entity
Organization
Contact information
Practice address
440 W MAIN ST, CLARKSBURG, WV 26301-2817
(304) 624-5679
(304) 622-6888
Mailing address
440 W MAIN ST, CLARKSBURG, WV 26301-2817
(304) 624-5679
(304) 622-6888
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0551259
WV
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412103000
—
WV
01
—
2109322
PK
—
Enumeration date
10/31/2006
Last updated
03/17/2017
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