Organization · Type 2 NPI

Boone Memorial Hospital, Inc

Community/Retail Pharmacy · Madison, WV

NPI number 1679073779 Active

Practice location

697 Madison Avenue, Suite B
Madison, WV 25130-2513

Call (304) 369-1230 Map

Fax (304) 369-1525

Mailing address

701 Madison Ave
Madison, WV 25130-1669

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Madison

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NPI record

NPI: 1679073779
Entity type: Organization (Type 2)
Issued: Feb 15, 2018
Last updated: Feb 15, 2018
Status: Active
Subpart: Yes of Boone Memorial Hospital, Inc.,

Other names

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BMH Outpatient Pharmacy · other name

Authorized official

David H Gresham
Chief Development Officer
(304) 369-2932

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679073779

Boone Memorial Hospital, Inc's National Provider Identifier is 1679073779, issued on Feb 15, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Madison, WV. The record was last updated on Feb 15, 2018.