Organization
MEDICINE STOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER BOOTHE (PHARMACIST IN CHARGE / PRESIDENT)
(304) 369-4330
Entity
Organization
Contact information
Practice address
2789 POND FORK ROAD, UNEEDA, WV 25205
(304) 369-4330
(304) 369-4331
Mailing address
PO BOX 639, UNEEDA, WV 25205-0639
(304) 369-4330
(304) 369-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143330000
—
WV
Enumeration date
10/25/2006
Last updated
07/21/2022
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