Carriage Drive Pharmacy Inc

LBN: Professional Pharmacy Inc
Carriage Drive Pharmacy Inc is an health care organization with primary practice located at 350 Carriage Dr , Beckley WV 25801-2812. 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. Professional Pharmacy Inc can be contacted via phone (304) 252-5349, or through Kluesner, W via phone (304) 252-5349.

Contact Information

Primary practice address
350 Carriage Dr Beckley WV 25801-2812
Phone: (304) 252-5349
Fax: (304) 252-5386
Website:
Map and Directions
Authorized official contact:
Name: Kluesner, W
Phone: (304) 252-5349

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550190 West Virginia

Profile Details

NPI number 1053418897
LBN Legal business name Professional Pharmacy Inc
DBA Doing business as Carriage Drive Pharmacy Inc
Authorized official Kluesner, W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 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 1053418897 NPPES
West Virginia MEDICAID 0140316000
West Virginia Other 2110369

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