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John Manchin Iii
Community/Retail Pharmacy in Fairmont, West Virginia
NPI 1689849804

John Manchin Iii is a Community/Retail Pharmacy based in Fairmont, WV and is specialized in Community/Retail Pharmacy. John Manchin Iii practices in Fairmont, WV. The NPI Number for John Manchin Iii is 1689849804 and holds a License No. SP0552377 (West Virginia).

The current practice location address for John Manchin Iii is 181 Middletown Cir, Fairmont, WV and can be reached out via phone at 304-367-9122 and via fax at 304-367-9125. You can also correspond with John Manchin Iii through the mailing address at 181 MIDDLETOWN CIR, FAIRMONT, WV - 26554-2015 (mailing address contact number: 304-367-9122).

Location: 181 Middletown Cir, Fairmont, WV, 26554-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689849804
Provider Name
John Manchin Iii
Credential
Provider Entity Type
Organization
Address
181 Middletown Cir, Fairmont, WV, 26554-2015
Phone Number
304-367-9122
Fax Number
304-367-9125
Provider Enumeration Date
04/29/2008
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2111736 01 PK
3810011348 05 WV
institution
Provider Business Practice Location Address Details
Address
181 Middletown Cir
City
Fairmont
State
West Virginia
Zip
26554-2015
Phone Number
304-367-9122
Fax Number
304-367-9125
person
Provider Business Mailing Address Details
Address
181 Middletown Cir
City
Fairmont
State
West Virginia
Zip
26554-2015
Phone Number
304-367-9122
Fax Number
304-367-9125
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
SP0552377 (West Virginia)
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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