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Contact Information

JOHN MANCHIN III
1021 MAIN ST
FARMINGTON, WV26571
 Phone: 304-825-1270
 Fax: 304-825-1196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JOHN MANCHIN III

NPI Number 1326122060
LBN Legal business name JOHN MANCHIN III
Authorized official JOHN MANCHIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 07/22/2014 - About 12 years ago
Identifiers
WV License # SPO552200
WV Medicaid 0141691000
Other 2111318 PK
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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