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RIDER PHARMACY INC

Medical Equipment Supplier Yellow Pages

Fairmont, West Virginia

Provider NPI: 1467459545

Organization Information:
Organization Name:  RIDER PHARMACY INC


Practice Location:
303 MERCHANT ST  FAIRMONT, WV 26554 US
Tel: 304-366-2710  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
N3336C0004XSuppliers
Pharmacy
Y333600000XSuppliers
Pharmacy
WVAR5100792

Other Provider Identifiers:

IssuerNumberStateType
014225200WV05
042783001WV05
OTHER ID NUMBER500101901
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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