Medical Center Pharmacy

LBN: West Virginia University Hospitals Inc
Medical Center Pharmacy is an health care organization with primary practice located at 1 Medical Center Dr , Morgantown WV 26506-1200. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. West Virginia University Hospitals Inc can be contacted via phone (304) 598-4848, or through Gonzaga, Joedell via phone (304) 598-4848.

Contact Information

Primary practice address
1 Medical Center Dr Morgantown WV 26506-1200
Phone: (304) 598-4848
Fax: (304) 598-6382
Website:
Map and Directions
Authorized official contact:
Name: Gonzaga, Joedell PHARM.D
Phone: (304) 598-4848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X SP0550189 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639163538
LBN Legal business name West Virginia University Hospitals Inc
DBA Doing business as Medical Center Pharmacy
Authorized official Gonzaga, Joedell PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639163538 NPPES
Other 2109860 PK
MEDICAID 0054045 PK
MEDICAID 0144432000 PK
MEDICAID 1007552330009 PK
MEDICAID 332306400 PK

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