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CRAB ORCHARD PHARMACY INC NPI 1619050754


NPI Information

NPI: 1619050754
Provider Name: CRAB ORCHARD PHARMACY INC

Doing Business As: CRAB ORCHARD PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1299 ROBERT C BYRD DRIVE
CRAB ORCHARD, WV
ZIP 25827
Phone: (304) 253-7474
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CRAB ORCHARD PHARMACY INC is a community/retail pharmacy pharmacy in Crab Orchard, WV. The provider is 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. CRAB ORCHARD PHARMACY INC NPI is 1619050754. The provider is registered as an organization entity type.
The provider Is Doing Business As Crab Orchard Pharmacy.

The provider's business location address is:

1299 ROBERT C BYRD DRIVE
CRAB ORCHARD, WV
ZIP 25827
Phone: (304) 253-7474
Fax: (304) 253-7495

The provider's authorized official is Richard Sallaz .
The authorized official title is Owner/pres/pic and has the following contact phone number (304) 253-7474.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 2/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacySP0552359WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11032890001MEDICARE NSC
22110661OTHERPK
3139667000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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