Community Care Of West Virginia

NPI 1184022428 - Pharmacy - 333600000X

NPI Details
NPI 1184022428
Enumeration Date 12/19/2014
Last Updated 06/03/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RICHARD G. RICHARD
Position CEO
Phone (304) 745-3000
Fax (304) 745-3022
Practice Location
597 LIBERTY STREET
WEST MILFORD WV, 26451, US
Phone (304) 745-3000
Fax (304) 745-3022
Business Location
P.O. BOX 339
WEST MILFORD WV, 26451, US
Phone (304) 745-3000
Fax (304) 745-3022
Toxanomy
Taxonomy Code 333600000X
License State West Virginia
License Number SPO552482
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According to our database, Community Care Of West Virginia NPI is 1184022428, taxonomy code is 333600000X and license number is SPO552482, license state is located at West Virginia. Community Care Of West Virginia physically located at 597 Liberty Street, West Milford WV, 26451. NPI Number 1033115704 has the healthcare provider type.

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1184022428 NPI number is provided on an as is basis without warranty of any kind. 1184022428 is maintained by the National Plan & Provider Enumeration System. The contents of Community Care Of West Virginia are for informational purposes only.