<Unavail>

LBN: Blands Drug Store
<Unavail> is an health care organization with primary practice located at 217 W Pike St , Clarksburg WV 26301-2750. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Blands Drug Store can be contacted via phone (304) 624-5491, or through Fox, Brenda via phone (304) 624-5491.

Contact Information

Primary practice address
217 W Pike St Clarksburg WV 26301-2750
Phone: (304) 624-5491
Fax: (304) 623-0830
Website:
Map and Directions
Authorized official contact:
Name: Fox, Brenda
Phone: (304) 624-5491

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X SP0550017 West Virginia

Profile Details

NPI number 1790780377
LBN Legal business name Blands Drug Store
DBA Doing business as <Unavail>
Authorized official Fox, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Sep 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790780377 NPPES
West Virginia MEDICAID 8500169
West Virginia MEDICAID 0139685000
West Virginia Other 5000980

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