institution
Clendenin Health Center Pharmacy At Riverview
Federally Qualified Health Center (FQHC) in Clendenin, West Virginia
NPI 1285928804

Clendenin Health Center Pharmacy At Riverview is a Federally Qualified Health Center (FQHC) based in Clendenin, WV and is specialized in Federally Qualified Health Center (FQHC). Clendenin Health Center Pharmacy At Riverview practices in Clendenin, WV. The NPI Number for Clendenin Health Center Pharmacy At Riverview is 1285928804 and holds a License No. (West Virginia).

The current practice location address for Clendenin Health Center Pharmacy At Riverview is 107 Koontz Ave, Clendenin, WV and can be reached out via phone at 304-548-7272 and via fax at 304-548-7149.

Location: 107 Koontz Ave, Clendenin, WV, 25045-0664
institution
Provider Profile Details
NPI Number
1285928804
Provider Name
Clendenin Health Center Pharmacy At Riverview
Credential
Provider Entity Type
Organization
Address
107 Koontz Ave, Clendenin, WV, 25045-0664
Phone Number
304-548-7272
Fax Number
304-548-7149
Provider Enumeration Date
05/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MP0552393 01 WV PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
107 Koontz Ave
City
State
Zip
25045
Phone Number
304-548-7272
Fax Number
304-548-7149
person
Provider Business Mailing Address Details
Address
107 Koontz Ave
City
State
Zip
25045
Phone Number
304-548-7272
Fax Number
304-548-7149
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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