Moundsville Pharmacy
LBN: Pharmacole Inc
Moundsville Pharmacy is an health care organization with primary practice located at 118 Lafayette Ave , Moundsville WV 26041-1029. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pharmacole Inc can be contacted via phone (304) 845-0390, or through Turner, Jason via phone (304) 845-0390.
Contact Information
Primary practice address
118 Lafayette Ave
Moundsville WV 26041-1029
Phone: (304) 845-0390
Fax: (304) 845-0391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NRP.022335850-03 | Ohio |
| Suppliers / Compounding Pharmacy | 3336C0004X | SP0550787 | West Virginia |
Profile Details
| NPI number | 1790867570 |
|---|---|
| LBN Legal business name | Pharmacole Inc |
| DBA Doing business as | Moundsville Pharmacy |
| Authorized official | Turner, Jason PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Mar 15th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790867570 | NPPES |
| West Virginia | MEDICAID | 0143297000 | |
| West Virginia | Other | 2109812 |
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