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CHARLESTON MEDICAL CENTER PHARMACY

Medical Equipment Supplier Yellow Pages

Charleston, West Virginia

Provider NPI: 1386723062

Organization Information:
Organization Name:  CHARLESTON MEDICAL CENTER PHARMACY


Practice Location:
3100 MACCORKLE AVE SE STE 100 CHARLESTON, WV 25304 US
Tel: 304-344-8021  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336S0011XSuppliers
Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
WVSP0550648

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER500158801
00143130000WV05
8504598WV05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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