GOODYKOONTZ DRUG STORES INC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

GOODYKOONTZ DRUG STORES INC

2924 EAST CUMBERLAND ROAD
BLUEFIELD, WV 24701

Phone: 304-325-7121
Fax: 304-327-9701
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for GOODYKOONTZ DRUG STORES INC

NPI # 1417054255

LBN Legal business name GOODYKOONTZ DRUG STORES INC

Authorized official JERRY BOVENIZER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/20/2006

Last updated 09/19/2016 - About 10 years ago

Identifiers

WV	License #	SP0550098
VA	Medicaid	0085046995
WV	Medicaid	0141899000
	Other	2109351	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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GOODYKOONTZ DRUG STORES INC

Contact Information

Specialty

Community/Retail Pharmacy

Long Term Care Pharmacy

Pharmacy

NPI Profile & details for GOODYKOONTZ DRUG STORES INC

Reviews for GOODYKOONTZ DRUG STORES INC