Alum Creek Pharmacy At Sand Plant
LBN: Jerry Skeenes
Alum Creek Pharmacy At Sand Plant is an health care organization with primary practice located at 1563 Sand Plant Rd , South Charleston WV 25309-6120. 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.
Jerry Skeenes can be contacted via phone (304) 756-2181, or through Skeenes, Jerry via phone (304) 756-2181.
Contact Information
Primary practice address
1563 Sand Plant Rd
South Charleston WV 25309-6120
Phone: (304) 756-2181
Fax: (304) 756-2796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552446 | West Virginia |
Profile Details
| NPI number | 1811090954 |
|---|---|
| LBN Legal business name | Jerry Skeenes |
| DBA Doing business as | Alum Creek Pharmacy At Sand Plant |
| Authorized official | Skeenes, Jerry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Mar 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811090954 | NPPES |
| Other | 5001261 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 139035000 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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