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Contact Information

VAN PHARMACY, INC
19024 POND FORK ROAD
VAN, WV25206
 Phone: 304-245-8255
 Fax: 304-245-8133
 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 VAN PHARMACY, INC

NPI # 1215938121
LBN Legal business name VAN PHARMACY, INC
Authorized official ROBIN MOORE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2005
Last updated 01/02/2018 - About 8 years ago
Identifiers
WV Medicaid 0139529000
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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