Med Center Specialty Pharmacy
LBN: Cmc Pharmacy, Llc
Med Center Specialty Pharmacy is an health care organization with primary practice located at 3100 Maccorkle Ave Se Suite 100, Charleston WV 25304-1223. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Cmc Pharmacy, Llc can be contacted via phone (304) 344-8021, or through Karalis, Nicholas via phone (610) 545-6040.
Contact Information
Primary practice address
3100 Maccorkle Ave Se Suite 100
Charleston WV 25304-1223
Phone: (304) 344-8021
Fax: (304) 344-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552442 | West Virginia |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | SP0552442 | West Virginia |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1124575907 |
|---|---|
| LBN Legal business name | Cmc Pharmacy, Llc |
| DBA Doing business as | Med Center Specialty Pharmacy |
| Authorized official | Karalis, Nicholas |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 8th, 2016 |
| Last updated | Aug 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124575907 | NPPES |
| West Virginia | MEDICAID | 3810025009 |
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