Organization
GREENBRIER MEDICAL ARTS PHARMACY INC
Active
Other names
GREENBRIER MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN HAGER (CORPORATE OFFICE MANAGER)
(304) 645-5547
Entity
Organization
Contact information
Practice address
690 MAPLEWOOD AVE, LEWISBURG, WV 24901-9300
(304) 647-5121
(304) 647-5122
Mailing address
3558 JEFFERSON ST N STE 1, LEWISBURG, WV 24901-5730
(304) 645-5547
(304) 645-5549
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550581
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141908000
—
WV
05
—
1992708770
—
VA
01
—
2110013
PK
—
Enumeration date
05/24/2005
Last updated
05/29/2024
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