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Contact Information

CLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW
107 KOONTZ AVE
CLENDENIN, WV25045
 Phone: 304-548-7272
 Fax: 304-548-7149
 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 CLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW

NPI Number 1285928804
LBN Legal business name CLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW
Authorized official ANGELA STONE - (LEAD PHARMACIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/31/2011
Last updated 07/16/2025 - About 11 months ago
Identifiers
WV Medicaid 3810021493
WV Other MP0552393 PHARMACY LICENSE
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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