Penn Way Pharmacy
LBN: Paul G. Stakias
Penn Way Pharmacy is an health care organization with primary practice located at 3159 Main St , Weirton WV 26062-4711. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Paul G. Stakias can be contacted via phone (304) 748-0505, or through Stakias, Paul G via phone (304) 748-0505.
Contact Information
Primary practice address
3159 Main St
Weirton WV 26062-4711
Phone: (304) 748-0505
Fax: (304) 748-4436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | SP0550209 | West Virginia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1851460703 |
|---|---|
| LBN Legal business name | Paul G. Stakias |
| DBA Doing business as | Penn Way Pharmacy |
| Authorized official | Stakias, Paul G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Oct 11th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851460703 | NPPES |
| West Virginia | MEDICAID | 0142197000 | |
| West Virginia | Other | 2109491 |
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