Camc Greenbrier Valley Medical Center, INC.
Pharmacy, Community/Retail Pharmacy in Ronceverte, WV. Organization (NPI-2).
NPI number1245047232
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1245047232
- Entity type
- Organization (NPI-2)
- Legal business name
- Camc Greenbrier Valley Medical Center, INC.
- Organization subpart
- Yes
- Enumeration date
- Dec 13, 2024
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Vandalia Pharmacy #6 Gvmc (Doing Business As)
Practice location
1322 Maplewood AveRonceverte, WV 24970-8016
Phone 304-648-6006
Mailing address
400 Association Dr Ste 102Charleston, WV 25311-1298
Phone 304-388-0266
Authorized official
Brandi White
Provider Enrollment Manager
3043880266
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