Med-Mart Pharmacy Fairmont

LBN: Med-Mart Pharmacy Llc
Med-Mart Pharmacy Fairmont is an health care organization with primary practice located at 181 Middletown Cir , Fairmont WV 26554-2015. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Med-Mart Pharmacy Llc can be contacted via phone (304) 367-9122, or through Kaddourah, Ibrahim via phone (304) 367-9122.

Contact Information

Primary practice address
181 Middletown Cir Fairmont WV 26554-2015
Phone: (304) 367-9122
Fax: (304) 367-9125
Website:
Map and Directions
Authorized official contact:
Name: Kaddourah, Ibrahim
Phone: (304) 367-9122

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X SP0552522 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386131050
LBN Legal business name Med-Mart Pharmacy Llc
DBA Doing business as Med-Mart Pharmacy Fairmont
Authorized official Kaddourah, Ibrahim
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2018
Last updated Dec 11th, 2019 - about 5 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 1386131050 NPPES
Other 2176926 PK

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