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Contact Information

DANVILLE PHARMACY LLC
2008 SMOOT AVE
DANVILLE, WV25053
 Phone: 304-369-3981
 Fax: 304-269-3983
 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 DANVILLE PHARMACY LLC

NPI # 1366515991
LBN Legal business name DANVILLE PHARMACY LLC
Authorized official CHAD MOLES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
WV License # SP0552186
WV Medicaid 0141570000
Other 5011008 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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