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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 Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for STAATS PHARMACY AND HEALTH CARE INC

NPI Number 1679661474
LBN Legal business name STAATS PHARMACY AND HEALTH CARE INC
Authorized official JOHN CORKREAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2006
Last updated 01/11/2016 - About 10 years ago
Identifiers
WV Medicaid 0139438000
WV Other 000200376 BLUE CROSS BLUE SHIELD
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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