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Contact Information

CHARLIES PHARMACY INC
233 MAIN ST
PINEVILLE, WV24874
 Phone: 304-732-6969
 Fax: 304-732-6866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHARLIES PHARMACY INC

NPI # 1003909227
LBN Legal business name CHARLIES PHARMACY INC
Authorized official EVA BURNS - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 02/01/2008 - About 18 years ago
Identifiers
WV License # SP0551195
WV Medicaid 0140930000
Other 5010258 OTHER ID NUMBER
Other 5010258 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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