Organization
PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED
Active
Other names
Preston Taylor Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN WHITE (PIC)
(304) 463-4200
Entity
Organization
Contact information
Practice address
30 CORTLAND ACRES LN, THOMAS, WV 26292-8066
(304) 463-4200
(304) 463-4201
Mailing address
30 CORTLAND ACRES LN, THOMAS, WV 26292-8066
(304) 463-4200
(304) 463-4201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
MP0552420
WV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155503
PK
—
Enumeration date
11/25/2015
Last updated
08/12/2016
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