Blands Drug Store in Clarksburg - Compounding Pharmacy
Blands Drug Store - NPI 1790780377
Blands Drug Store is a Compounding Pharmacy in Clarksburg, . Blands Drug Store practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Blands Drug Store is 1790780377. The last update date is 2007-09-13.
Blands Drug Store's current location address is 217 W Pike St, Clarksburg, . You can contact this provider via phone number 3046245491 and fax number 3046230830. The mailing address for Blands Drug Store is 217 W Pike St, Clarksburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blands Drug Store |
|---|---|
| Address | 217 W Pike St, Clarksburg, |
| Phone Number | 3046245491 |
| Fax Number | 3046230830 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PIC |
|---|---|
| Authorized Official Name | Fox Brenda |
| Telephone Number | 3046245491 |
NPI Number Detail
| NPI Number | 1790780377 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 217 W Pike St |
|---|---|
| City | Clarksburg |
| State | (WV) |
| Post Code | 2630127500 |
| Phone Number | 3046245491 |
| Fax Number | 3046230830 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | SP0550017 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8500169 | WV | -- | |
| 139685000 | WV | -- | |
| 5000980 | OTHER ID NUMBER |
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What is the unique identifier code issued to Blands Drug Store by the Centers for Medicare & Medicaid Services?
The Blands Drug Store has been assigned the NPI (National Provider Identifier) 1790780377. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Blands Drug Store?
The Blands Drug Store is situated at 217 W Pike St, in the city of Clarksburg, state of WV, with the zip code 2630127500.
What is Blands Drug Store's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blands Drug Store's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date did the Blands Drug Store receive its 1790780377 assignment from the Centers for Medicare & Medicaid Services?
The Blands Drug Store was assigned its 1790780377 by the Centers for Medicare & Medicaid Services on 2005-06-20.
When was the information pertaining to Blands Drug Store most recently updated or revised?
The details related to Blands Drug Store, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-13.
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