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Contact Information

PENDLETON COMMUNITY CARE, INC.
203 N MAIN STREET
FRANKLIN, WV26807
 Phone: 304-358-2887
 Fax: 304-358-3149
 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 PENDLETON COMMUNITY CARE, INC.

NPI Number 1477646693
LBN Legal business name PENDLETON COMMUNITY CARE, INC.
Authorized official JAMIE HUDSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/12/2016 - About 10 years ago
Identifiers
WV License # SP0552383
WV Medicaid 3810014185
Other 2119084 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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