Organization
MOUNTAIN VALLEY LLC
Active
Other names
Mountain Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GULBADAN SINGH (AUTHORIZED OFFICIAL)
(304) 943-7177
Entity
Organization
Contact information
Practice address
827 FAIRMONT RD STE 104, MORGANTOWN, WV 26501-3857
(304) 943-7177
Mailing address
827 FAIRMONT RD STE 104, MORGANTOWN, WV 26501-3857
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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