Mountaineer Medical Office Building Pharmacy
NPI #1538445101 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1538445101
- Entity Type
- Organization
- Organization Name
- Mountaineer Medical Office Building Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 27, 2011
- Last Updated
- Jun 13, 2013
Practice Location
- Address
- 120 MEDICAL PARK DR STE 102
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-9013
- Phone
- (304) 423-5200
Authorized Official
- Name
- CHARLES BRADLEY FRANZ
- Title
- PHYSICIAN MEMBER OF LLC
- Phone
- (304) 624-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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