Mccloud Family Pharmacy

LBN: Mccloud Family Pharmacy Inc
Mccloud Family Pharmacy is an health care organization with primary practice located at 4541 5Th Street Rd , Huntington WV 25701-9112. 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. Mccloud Family Pharmacy Inc can be contacted via phone (304) 522-6090, or through Mccloud, Kevin via phone (304) 522-6090.

Contact Information

Primary practice address
4541 5Th Street Rd Huntington WV 25701-9112
Phone: (304) 522-6090
Fax: (304) 522-6094
Website:
Map and Directions
Authorized official contact:
Name: Mccloud, Kevin RPH
Phone: (304) 522-6090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552325 West Virginia

Profile Details

NPI number 1205879087
LBN Legal business name Mccloud Family Pharmacy Inc
DBA Doing business as Mccloud Family Pharmacy
Authorized official Mccloud, Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 17th, 2015 - about 9 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 1205879087 NPPES
West Virginia MEDICAID 3810004197
West Virginia Other 2111570

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