Mountain Valley LLC
NPI #1992344568 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1992344568
- Entity Type
- Organization
- Organization Name
- Mountain Valley LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 31, 2019
- Last Updated
- Dec 31, 2019
Practice Location
- Address
- 827 FAIRMONT RD STE 104
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26501-3857
- Phone
- (304) 943-7177
Authorized Official
- Name
- GULBADAN SINGH
- Title
- AUTHORIZED OFFICIAL
- Phone
- (304) 943-7177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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