Van Pharmacy, INC
Pharmacy, Community/Retail Pharmacy in Van, WV. Organization (NPI-2).
NPI number1215938121
StatusActive
Last updated in NPPESJan 2, 2018
Details
- NPI
- 1215938121
- Entity type
- Organization (NPI-2)
- Legal business name
- Van Pharmacy, INC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2005
- Last updated
- Jan 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
19024 Pond Fork RoadVan, WV 25206
Phone 304-245-8255 · Fax 304-245-8133
Mailing address
19024 Pond Fork RoadPo Box 450
Van, WV 25206
Phone 304-245-8255 · Fax 304-245-8133
Authorized official
Robin Anita Moore
Owner
3042458255
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