Clinic Pharmacy Of Princeton Inc, NPI 1629175559
Community/Retail Pharmacy in Princeton, 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 | 1629175559 |
| NPI Entity Type | Organization |
| Provider Name |
Clinic Pharmacy Of Princeton Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 508 New Hope Rd, Suite 101, Princeton, WV, US |
| Provider Mailing Address | 508 New Hope Rd, Suite 101, Princeton, WV, US, 247402265 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPH Thomas Bay |
| Official Position | PRESIDENT |
| Phone | 304-425-9591 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Retail Pharmacy |
| Classification | |
| Group | |
| License No. | SP0550037 |
| License State | WV |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2111564 | PK | 01 | |
| 3810003696 | WV | MEDICAID | 05 |
| 008503575 | VA | MEDICAID | 05 |
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|---|---|---|---|
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Tisean Jayree Walker Individual |
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Montana Wallace Individual |
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Alexis Perry Individual |
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Stevie Dawn Cline Individual |
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Britney Brogan Individual |
267 Midway Rd |
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Mary Mccullough Individual |
1599 2nd Ave |
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