Manchin Family Pharmacy

LBN: John Manchin Iii
Manchin Family Pharmacy is an health care organization with primary practice located at 181 Middletown Cir , Fairmont WV 26554-2015. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. John Manchin Iii can be contacted via phone (304) 367-9122, or through Manchin, John via phone (304) 367-9122.

Contact Information

Primary practice address
181 Middletown Cir Fairmont WV 26554-2015
Phone: (304) 367-9122
Fax: (304) 367-9125
Website:
Map and Directions
Authorized official contact:
Name: Manchin, John B.S.
Phone: (304) 367-9122

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X SP0552377 West Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1689849804
LBN Legal business name John Manchin Iii
DBA Doing business as Manchin Family Pharmacy
Authorized official Manchin, John B.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 25th, 2017 - about 9 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 1689849804 NPPES
Other 2111736 PK
MEDICAID 3810011348 PK

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