Family Life Pharmacy

LBN: Coal River Pharmacy Llc
Family Life Pharmacy is an health care organization with primary practice located at 21189 Coal River Rd , Comfort WV 25049. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Coal River Pharmacy Llc can be contacted via phone (304) 837-3777, or through Massey, Stephanie via phone (304) 837-3777.

Contact Information

Primary practice address
21189 Coal River Rd Comfort WV 25049
Phone: (304) 837-3777
Fax: (304) 837-3776
Website:
Map and Directions
Authorized official contact:
Name: Massey, Stephanie
Phone: (304) 837-3777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552365 West Virginia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1891970414
LBN Legal business name Coal River Pharmacy Llc
DBA Doing business as Family Life Pharmacy
Authorized official Massey, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Apr 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891970414 NPPES
West Virginia MEDICAID 3810011065
West Virginia Other 2111653

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