<Unavail>

LBN: Cmc Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 3100 Maccorkle Ave Se Ste 100 , Charleston WV 25304-1215. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cmc Pharmacy, Llc can be contacted via phone (304) 344-8021, or through Karalis, Nicholas via phone (610) 545-6040.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Ste 100 Charleston WV 25304-1215
Phone: (304) 344-8021
Fax: (304) 344-0655
Website:
Map and Directions
Authorized official contact:
Name: Karalis, Nicholas
Phone: (610) 545-6040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552442 West Virginia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X SP0552442 West Virginia
Suppliers / Specialty Pharmacy 3336S0011X SP0552442 West Virginia

Profile Details

NPI number 1336485663
LBN Legal business name Cmc Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Karalis, Nicholas
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2012
Last updated Aug 2nd, 2021 - about 5 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 1336485663 NPPES
West Virginia MEDICAID 3810025009

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