Custom Script Pharmacy

NPI 1104227602 - Durable Medical Equipment & Medical Supplies - 332BX2000X

NPI Details
NPI 1104227602
Enumeration Date 09/16/2014
Last Updated 09/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JONATHAN JONATHAN
Position RESPIRATORY THERAPIST
Phone (130) 473-3378
Fax (130) 473-3139
Practice Location
3738 TEAYS VALLEY RD STE C
HURRICANE WV, 25526-9705, US
Phone (130) 473-3378
Fax (130) 473-3139
Business Location
3738 TEAYS VALLEY RD STE C
HURRICANE WV, 25526-9705, US
Phone (130) 473-3378
Fax (130) 473-3139
Toxanomy
Taxonomy Code 332BX2000X
License State
License Number
Remove 1104227602 NPI Number
 

According to our database, Custom Script Pharmacy NPI is 1104227602, taxonomy code is 332BX2000X Custom Script Pharmacy physically located at 3738 Teays Valley Rd Ste C, Hurricane WV, 25526-9705. NPI Number 1033115704 has the healthcare provider type.

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1104227602 NPI number is provided on an as is basis without warranty of any kind. 1104227602 is maintained by the National Plan & Provider Enumeration System. The contents of Custom Script Pharmacy are for informational purposes only.