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LOOP PLAZA PHARMACY CO INC

Medical Equipment Supplier Yellow Pages

Charleston, West Virginia

Provider NPI: 1285793281

Organization Information:
Organization Name:  LOOP PLAZA PHARMACY CO INC


Practice Location:
4918 MACCORKLE AVE SE  CHARLESTON, WV 25304 US
Tel: 304-720-7866  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
N3336C0003XSuppliers
Pharmacy
Y3336C0004XSuppliers
Pharmacy
WVMP0550920

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER505442601
3810007930WV05
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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