Rider Pharmacy

LBN: Rider Pharmacy
Rider Pharmacy is an health care organization with primary practice located at 303 Merchant St , Fairmont WV 26554-5213. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Rider Pharmacy can be contacted via phone (304) 366-2710, or through Painter, Courtney via phone (304) 366-2710.

Contact Information

Primary practice address
303 Merchant St Fairmont WV 26554-5213
Phone: (304) 366-2710
Fax: (304) 366-0426
Website:
Map and Directions
Authorized official contact:
Name: Painter, Courtney
Phone: (304) 366-2710

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1467459545 West Virginia
Suppliers / Pharmacy 333600000X West Virginia

Profile Details

NPI number 1194155812
LBN Legal business name Rider Pharmacy
DBA Doing business as
Authorized official Painter, Courtney
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2013
Last updated Nov 15th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194155812 NPPES
West Virginia MEDICAID 0142252000

Popular Providers