Mountain Lake Pharmacy Inc
Mountain Lake Pharmacy Inc is a Pharmacy in Summersville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1129 Broad St Ste 100Summersville, WV 26651-1838
Phone: (304) 872-9000
Fax: (304) 872-4419
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence SP0552314 (WV) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1336228006 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Howard Boone — President Pic · (304) 872-9000 |
| Other names | Mountain Lake Pharmacy |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | September 10, 2010 |
| Mailing address | 1129 Broad St, Ste 100, Summersville, WV 26651-1838 |
Other providers in Summersville
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Camden on Gauley Medical Center Inc
415 Main St, Summersville, WV 26651-1343 · (304) 872-1663
-
Camden on Gauley Medical Center, Inc
415 Main St, Summersville, WV 26651-1343 · (304) 872-1663
-
Summersville Regional Medical Center
400 Fairview Heights Rd, Summersville, WV 26651-9308 · (304) 872-8437
-
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd, Summersville, WV 26651-9308 · (304) 872-8402