Rider Pharmacy
LBN: Rider Pharmacy Inc
Rider Pharmacy is an health care organization with primary practice located at 303 Merchant St , Fairmont WV 26554-5213. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Rider Pharmacy Inc can be contacted via phone (304) 366-2710, or through Rider, Jonathan via phone (304) 366-2710.
Contact Information
Primary practice address
303 Merchant St
Fairmont WV 26554-5213
Phone: (304) 366-2710
Fax: (304) 366-3116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | AR5100792 | West Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1467459545 |
|---|---|
| LBN Legal business name | Rider Pharmacy Inc |
| DBA Doing business as | Rider Pharmacy |
| Authorized official | Rider, Jonathan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jun 7th, 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 | 1467459545 | NPPES |
| West Virginia | MEDICAID | 014225200 | |
| West Virginia | Other | 5001019 | |
| West Virginia | MEDICAID | 042783001 |
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