Community Care of West Virginia, Inc.

NPI #1497581078 in Marlinton, West Virginia

Provider Information

NPI Number
1497581078
Entity Type
Organization
Organization Name
Community Care of West Virginia, Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 11, 2024
Last Updated
Sep 11, 2024

Practice Location

Address
821 3RD AVE
ZIP Code
24954-1015
Phone
(681) 875-2221

Authorized Official

Name
DORA L POTASNIK
Title
CREDENTIALING COORDINATOR
Phone
(304) 317-7275

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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