Main Street Pharmacy INC
NPI #1306505763 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1306505763
- Entity Type
- Organization
- Organization Name
- Main Street Pharmacy INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MAIN STREET PHARMACY, INC.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 14, 2021
- Last Updated
- Dec 14, 2021
Practice Location
- Address
- 4501 MACCORKLE AVE SW STE 101
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1444
- Phone
- (304) 766-8484
Authorized Official
- Name
- CAROL A JONES
- Title
- MANAGER
- Phone
- (304) 465-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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