Blands Drug Store, NPI 1790780377
Compounding Pharmacy in Clarksburg, 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 | 1790780377 |
| NPI Entity Type | Organization |
| Provider Name |
Blands Drug Store
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 217 W Pike St, Clarksburg, WV, US |
| Provider Mailing Address | 217 W Pike St, Clarksburg, WV, US, 263012750 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Brenda Fox |
| Official Position | PIC |
| Phone | 304-624-5491 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Compounding Pharmacy |
| Classification | |
| Group | |
| License No. | SP0550017 |
| License State | WV |
| Description | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 8500169 | WV | MEDICAID | 05 |
| 0139685000 | WV | MEDICAID | 05 |
| 5000980 | OTHER ID NUMBER | 01 |
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