Organization
OWMA PLLC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (3RD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
85 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 260-9040
(304) 260-9044
Mailing address
85 TAVERN RD, MARTINSBURG, WV 25401-2890
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
SP0552273
WV
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011820
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
09/11/2025
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