Organization
WHITEHALL PHARMACY LLC
Active
Other names
White Hall Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI VILAIN (RPH/OWNER)
(304) 368-9355
Entity
Organization
Contact information
Practice address
177 MIDDLETOWN RD, SUITE 2, FAIRMONT, WV 26554-8254
(304) 368-9355
(304) 368-5422
Mailing address
177 MIDDLETOWN RD, SUITE 2, FAIRMONT, WV 26554-8254
(304) 368-9355
(304) 368-5422
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552374
WV
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118003
PK
—
05
—
3810013966
—
WV
Enumeration date
12/09/2008
Last updated
07/08/2024
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