Organization
BRUCETON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TINGLER PHARMD (OWNER)
(304) 670-3678
Entity
Organization
Contact information
Practice address
198 MORGANTOWN ST , SUITE 1, BRUCETON MILLS, WV 26525
(304) 379-6929
(304) 379-6930
Mailing address
PO BOX A, BRUCETON MILLS, WV 26525-0010
(304) 379-6929
(304) 379-6930
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552469
WV
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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