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Organization

PHILLIPS DRUG LLC

Active
Other names
PHILLIPS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES PHILLIPS RP (OWNER)
(304) 652-1531
Entity
Organization

Contact information

Practice address
615 WELLS ST, SISTERSVILLE, WV 26175-1323
(304) 652-6131
(304) 652-1926
Mailing address
615 WELLS ST, SISTERSVILLE, WV 26175-1323
(304) 652-6131
(304) 652-1926

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
SP0550161
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00142230000
WV
01
2109482
PK
Enumeration date
12/13/2006
Last updated
06/16/2015
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