51D2241662 CLIA NUMBER - NHP RX LLC DBA BLACK BEAR PHARMACY

Laboratory Demographics

CLIA Number: 51D2241662

Facility Name: NHP RX LLC DBA BLACK BEAR PHARMACY

Facility Address:
1101 W NEVILLE ST
BECKLEY, WV
ZIP 25801
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Facility Phone Number: 681 254-4350

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871262741

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	51D2241662
LAB Type	Pharmacy
Facility Name	NHP RX LLC DBA BLACK BEAR PHARMACY
Street	1101 W NEVILLE ST
City	BECKLEY
State	WV
ZIP	25801
Phone	681 254-4350
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024