Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountaineer Medical Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1134569668

Mountaineer Medical Pharmacy LLC is a Community/Retail Pharmacy in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2013.

Licensed in
WV
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

120 Medical Park Dr Ste 102
Bridgeport, WV 26330-9013
Phone: (304) 423-5200
Fax: (304) 848-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence SP0552456 (WV)

Record details

NPI number1134569668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kovack — Pharm Mgr · (304) 423-5000
Other names Mountaineer Medical Pharmacy Llc
NPI enumeratedJune 28, 2013
Last updated in NPPESOctober 26, 2013
Mailing address120 Medical Park Dr Ste 102, Bridgeport, WV 26330-9013

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