Organization
KINES FAMILY PHARMACY INC
Active
Other names
KINES FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOM KINES RPH (PRESIDENT,PIC,AO)
(301) 984-1001
Entity
Organization
Contact information
Practice address
6097 SISSONVILLE DR, CHARLESTON, WV 25312
(304) 984-1001
(304) 984-1121
Mailing address
6097 SISSONVILLE DRIVE, CHARLESTON, WV 25312
(304) 984-1001
(304) 984-1121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552367
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111655
PK
—
05
—
3810011246
—
WV
Enumeration date
01/23/2008
Last updated
06/10/2021
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