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Contact Information

PRUNTYS PHARMACY INC
220 MAIN ST
MIDDLEBOURNE, WV26149
 Phone: 304-758-4300
 Fax: 304-758-4365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRUNTYS PHARMACY INC

NPI Number 1326147216
LBN Legal business name PRUNTYS PHARMACY INC
Authorized official LARRY PUNTY - (OWNER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 02/08/2008 - About 18 years ago
Identifiers
WV License # SP0550195
WV Medicaid 0139623000
Other 5009116 OTHER ID NUMBER-COMMERCIAL NUMBER
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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