Elm Grove Pharmacy

LBN: Hoge Davis Drug Co
Elm Grove Pharmacy is an health care organization with primary practice located at 102 East Bethlehem Blvd , Wheeling WV 26003-4866. 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. Hoge Davis Drug Co can be contacted via phone (304) 242-1500, or through Martino, Anthony Angelo via phone (304) 242-1500.

Contact Information

Primary practice address
102 East Bethlehem Blvd Wheeling WV 26003-4866
Phone: (304) 242-1500
Fax: (304) 242-6889
Website:
Map and Directions
Authorized official contact:
Name: Martino, Anthony Angelo RPH.
Phone: (304) 242-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550123 West Virginia

Profile Details

NPI number 1215009014
LBN Legal business name Hoge Davis Drug Co
DBA Doing business as Elm Grove Pharmacy
Authorized official Martino, Anthony Angelo RPH.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2006
Last updated Mar 7th, 2023 - about last year

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 1215009014 NPPES
West Virginia MEDICAID 0141960000
West Virginia Other 5000930

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