Mountaineer Pharmacy

LBN: West Virginia University Hospitals Inc
Mountaineer Pharmacy is an health care organization with primary practice located at 390 Birch Street , Morgantown WV 26505. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. West Virginia University Hospitals Inc can be contacted via phone (304) 285-7348, or through Gonzaga, Joedell via phone (304) 598-4848.

Contact Information

Primary practice address
390 Birch Street Morgantown WV 26505
Phone: (304) 285-7348
Fax: (304) 285-7349
Website:
Map and Directions
Authorized official contact:
Name: Gonzaga, Joedell
Phone: (304) 598-4848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552488 West Virginia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1184015802
LBN Legal business name West Virginia University Hospitals Inc
DBA Doing business as Mountaineer Pharmacy
Authorized official Gonzaga, Joedell
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2015
Last updated Dec 8th, 2023 - about 3 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 1184015802 NPPES
West Virginia MEDICAID 3910006675
West Virginia Other 2149568

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