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Contact Information

NICHOLAS PHARMACY INC
421 MAIN ST
SUMMERSVILLE, WV26651
 Phone: 304-872-0517
 Fax: 304-872-6644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for NICHOLAS PHARMACY INC

NPI Number 1962481697
LBN Legal business name NICHOLAS PHARMACY INC
Authorized official MICHAEL CLARK - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2006
Last updated 07/17/2018 - About 8 years ago
Identifiers
WV Medicaid 0143752000
Other 2109949 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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