Community Care of West Virginia, Inc.
NPI #1366179616 in Green Bank, West Virginia
Provider Information
- NPI Number
- 1366179616
- Entity Type
- Organization
- Organization Name
- Community Care of West Virginia, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 5, 2022
- Last Updated
- Aug 5, 2022
Practice Location
- Address
- 4498 POTOMAC HIGHLANDS TRIAL
- City
- Green Bank
- State
- West Virginia
- ZIP Code
- 24944
- Phone
- (304) 456-3333
Authorized Official
- Name
- DORA L POTASNIK
- Title
- CREDENTIALING COORDINATOR
- Phone
- (304) 317-7275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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