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Contact Information

MED FAST PHARMACY LLC
1311 OLD COURTHOUSE SQ
MARTINSBURG, WV25404
 Phone: 304-264-0300
 Fax: 304-264-0224
 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 MED FAST PHARMACY LLC

NPI # 1891890125
LBN Legal business name MED FAST PHARMACY LLC
Authorized official ANTHONY MOORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 05/01/2025 - More than a year ago
Identifiers
WV License # MP0552313
WV Medicaid 6001323000
Other 2111505 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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