Home » West Virginia » 26851 » Wardensville Pharmacy Llc

Wardensville Pharmacy Llc

Wardensville Pharmacy Llc is a health care provider in Wardensville, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 333 East Main St, Wardensville, WV 26851, US
Practice Location Phone304-874-3687
Practice Location Fax304-874-3692
Legal Business NameWARDENSVILLE PHARMACY LLC
NPI ?1932208824
Entity TypeOrganization
Enumeration Date ? Sep 21, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wardensville Pharmacy Llc

SpecialtySpecializationLicenseLicense State
Pharmacy SP0552191West Virginia
PharmacyCommunity/Retail Pharmacy

legacy-id-icon Legacy Provider IDs of Wardensville Pharmacy Llc

Provider IdIssuer StateIssuer TypeIssuer
5531090001Medicare Id-type Unspecified
5011060OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0141603000West VirginiaMedicaid

official-icon Authorized Official of Wardensville Pharmacy Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wardensville Pharmacy Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Lisa Whetzel (RPH)
Authorized Official Title/PositionOWNER PHARMACIST
Authorized Official Phone Number304-874-3687