Primary Care Pharmacy

LBN: Community Care Of West Virginia
Primary Care Pharmacy is an health care organization with primary practice located at 122 Center St , Clay WV 25043-7046. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Community Care Of West Virginia can be contacted via phone (304) 587-4555, or through Johnston, Connie via phone (304) 924-6262.

Contact Information

Primary practice address
122 Center St Clay WV 25043-7046
Fax: (304) 587-4584
Website:
Authorized official contact:
Name: Johnston, Connie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552399 West Virginia

Profile Details

NPI number 1427380633
LBN Legal business name Community Care Of West Virginia
DBA Doing business as Primary Care Pharmacy
Authorized official Johnston, Connie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2010
Last updated Jul 19th, 2018 - about 7 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 1427380633 NPPES
Other 2123802 PK

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