Med-mart Pharmacy Llc, NPI 1386131050
Pharmacy in Fairmont, WV, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386131050 |
| NPI Entity Type | Organization |
| Provider Name |
Med-mart Pharmacy Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 181 Middletown Cir, Fairmont, WV, US |
| Provider Mailing Address | 2524 Sun Trl, Morgantown, WV, US, 265051131 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Ibrahim Kaddourah |
| Official Position | OWNER/PIC |
| Phone | 304-367-9122 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | SP0552522 |
| License State | WV |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
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