Organization
WIRT COUNTY HEALTH SVC ASSOC INC
Active
Other names
RIVER VALLEY HEALTH AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SNYDER PHARMD (CEO)
(304) 275-8780
Entity
Organization
Contact information
Practice address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
(304) 868-6050
(304) 868-2048
Mailing address
606 WASHINGTON ST, RAVENSWOOD, WV 26164-1730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552345
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111629
PK
—
05
—
2721077
—
OH
05
—
3810006374
—
WV
Enumeration date
10/02/2006
Last updated
01/20/2017
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