National Provider Identifier Database

STAATS PHARMACY AND HEALTH CARE INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

STAATS PHARMACY AND HEALTH CARE INC
100 E MAIN ST
SPENCER, WV25276
Phone: 304-927-2980
Fax: 304-927-3190
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for STAATS PHARMACY AND HEALTH CARE INC

NPI Number 1679661474
Legal business name
LBN
STAATS PHARMACY AND HEALTH CARE INC
Authorized official JOHN CORKREAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/10/2006
Last updated 01/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 0139438000
  • WV Other: 000200376 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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