Clinic Pharmacy Inc

LBN: Clinic Pharmacy Of Princeton Inc
Clinic Pharmacy Inc is an health care organization with primary practice located at 508 New Hope Rd Suite 101, Princeton WV 24740-2265. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clinic Pharmacy Of Princeton Inc can be contacted via phone (304) 425-9591, or through Bay, Thomas via phone (304) 425-9591.

Contact Information

Primary practice address
508 New Hope Rd Suite 101 Princeton WV 24740-2265
Fax: (304) 425-5609
Website:
Authorized official contact:
Name: Bay, Thomas RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550037 West Virginia

Profile Details

NPI number 1629175559
LBN Legal business name Clinic Pharmacy Of Princeton Inc
DBA Doing business as Clinic Pharmacy Inc
Authorized official Bay, Thomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629175559 NPPES
Other 2111564 PK
MEDICAID 3810003696 PK
MEDICAID 008503575 PK

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