Waterfront Family Pharmacy
LBN: Waterfront Family Pharmacy Llc
Waterfront Family Pharmacy is an health care organization with primary practice located at 215 Don Knotts Blvd Ste 120, Morgantown WV 26501-0113. 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.
Waterfront Family Pharmacy Llc can be contacted via phone (304) 225-7979, or through Hudson, Rachael via phone (304) 225-7979.
Contact Information
Primary practice address
215 Don Knotts Blvd Ste 120
Morgantown WV 26501-0113
Phone: (304) 225-7979
Fax: (304) 225-3784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552324 | West Virginia |
Profile Details
| NPI number | 1629099684 |
|---|---|
| LBN Legal business name | Waterfront Family Pharmacy Llc |
| DBA Doing business as | Waterfront Family Pharmacy |
| Authorized official | Hudson, Rachael RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jun 1st, 2016 - about 8 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 | 1629099684 | NPPES |
| West Virginia | MEDICAID | 3810004619 | |
| West Virginia | Other | 2111571 |
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