Cheat Lake Pharmacy

LBN: Suncrest Pharmacy
Cheat Lake Pharmacy is an health care organization with primary practice located at 509 Ashebrooke Sq , Morgantown WV 26508-4465. 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. Suncrest Pharmacy can be contacted via phone (304) 594-0132, or through Monti, Steven via phone (304) 594-0132.

Contact Information

Primary practice address
509 Ashebrooke Sq Morgantown WV 26508-4465
Phone: (304) 594-0132
Fax: (304) 594-0134
Website:
Map and Directions
Authorized official contact:
Name: Monti, Steven RPH
Phone: (304) 594-0132

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0551182 West Virginia

Profile Details

NPI number 1811970775
LBN Legal business name Suncrest Pharmacy
DBA Doing business as Cheat Lake Pharmacy
Authorized official Monti, Steven RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 13th, 2007 - about 17 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 1811970775 NPPES
West Virginia MEDICAID 0142311002
West Virginia Other 5010145

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