Main Street Pharmacy INC

NPI #1154625283 in Beckley, West Virginia

Provider Information

NPI Number: 1154625283
Entity Type: Organization
Organization Name: Main Street Pharmacy INC
Subpart: Yes (part of a larger organization)
Parent Organization: MAIN STREET PHARMACY, INC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 4, 2011
Last Updated: Jul 14, 2011

Practice Location

Address: 269 STANAFORD RD
Address 2: SUITE B
City: Beckley
State: West Virginia
ZIP Code: 25801-3139
Phone: (304) 860-1446

Authorized Official

Name: JAWAD SHERWANI
Title: CEO
Phone: (304) 860-1446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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