Creighton Corporation
NPI #1417176041 in Moundsville, West Virginia
Provider Information
- NPI Number
- 1417176041
- Entity Type
- Organization
- Organization Name
- Creighton Corporation
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Mar 24, 2008
Practice Location
- Address
- 200 LAFAYETTE AVE
- City
- Moundsville
- State
- West Virginia
- ZIP Code
- 26041-1001
- Phone
- (304) 843-0040
Authorized Official
- Name
- MR. RICHARD MOLLENKOPF
- Title
- MANAGER
- Phone
- (304) 612-3115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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