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Mountain Lake Pharmacy Inc
Community/Retail Pharmacy in Summersville, West Virginia
NPI 1336228006

Mountain Lake Pharmacy Inc is a Community/Retail Pharmacy based in Summersville, WV and is specialized in Community/Retail Pharmacy. Mountain Lake Pharmacy Inc practices in Summersville, WV. The NPI Number for Mountain Lake Pharmacy Inc is 1336228006 and holds a License No. (West Virginia).

The current practice location address for Mountain Lake Pharmacy Inc is 1129 Broad St, Summersville, WV and can be reached out via phone at 304-872-9000 and via fax at 304-872-4419.

Location: 1129 Broad St, Summersville, WV, 26651-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336228006
Provider Name
Mountain Lake Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
1129 Broad St, Summersville, WV, 26651-1838
Phone Number
304-872-9000
Fax Number
304-872-4419
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6001398000 05 WV
5054046 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1129 Broad St
City
Summersville
State
West Virginia
Zip
26651-1838
Phone Number
304-872-9000
Fax Number
304-872-4419
person
Provider Business Mailing Address Details
Address
1129 Broad St
City
Summersville
State
West Virginia
Zip
26651-1838
Phone Number
304-872-9000
Fax Number
304-872-4419
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
SP0552314 (West Virginia)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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.
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