National Provider Identifier Database

EBENEZER MEDICAL OUTREACH INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

EBENEZER MEDICAL OUTREACH INC
1448 10TH AVE
HUNTINGTON, WV25701-3581
Phone: 304-529-0753
Fax: 304-529-0591
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for EBENEZER MEDICAL OUTREACH INC

NPI Number 1558796326
Legal business name
LBN
EBENEZER MEDICAL OUTREACH INC
Authorized official GINA FINLEY - (PIC)
Entity Organization
Organization subpart No
Enumeration date 09/11/2013
Last updated 11/06/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: CC0559059
  • Other: 2142452 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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