Organization
WILLOW DRUG INCORPORATED
Active
Other names
Willow Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KENLY MORRISON PHARMD (PRESIDENT/OWNER)
(304) 927-3784
Entity
Organization
Contact information
Practice address
41 WILLIAMS DR, SPENCER, WV 25276-1825
(304) 927-3784
(304) 927-0333
Mailing address
41 WILLIAMS DR, SPENCER, WV 25276-1825
(304) 927-3784
(304) 927-0333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552428
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022178
—
WV
01
—
5055606
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/29/2011
Last updated
04/05/2022
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