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Contact Information

PLEASANT VALLEY PHARMACY
49 VIP WAY
FAIRMONT, WV26554
 Phone: 304-366-3145
 Fax: 304-363-8485
 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 PLEASANT VALLEY PHARMACY

NPI Number 1437252574
LBN Legal business name PLEASANT VALLEY PHARMACY
Authorized official MARTIN HOFFMAN - (RX MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 07/15/2016 - About 10 years ago
Identifiers
WV License # SP0552341
WV Medicaid 3810006802
Other 2111586 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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