Mountaineer Pharmacy
LBN: West Virginia University Hospitals Inc
Mountaineer Pharmacy is an health care organization with primary practice located at 390 Birch Street , Morgantown WV 26505. 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.
West Virginia University Hospitals Inc can be contacted via phone (304) 285-7348, or through Gonzaga, Joedell via phone (304) 598-4848.
Contact Information
Primary practice address
390 Birch Street
Morgantown WV 26505
Phone: (304) 285-7348
Fax: (304) 285-7349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0552488 | West Virginia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1184015802 |
|---|---|
| LBN Legal business name | West Virginia University Hospitals Inc |
| DBA Doing business as | Mountaineer Pharmacy |
| Authorized official | Gonzaga, Joedell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2015 |
| Last updated | Dec 8th, 2023 - about last year |
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 | 1184015802 | NPPES |
| West Virginia | MEDICAID | 3910006675 | |
| West Virginia | Other | 2149568 |
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