Organization · Type 2 NPI
John Manchin III
Clinic Pharmacy · Fairmont, WV
NPI number
1689849804
Active
Practice location
181 Middletown Cir
Fairmont, WV 26554-2015
Fax (304) 367-9125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic Pharmacy Primary | 3336C0002X | SP0552377 (WV) |
| Community/Retail Pharmacy | 3336C0003X | None listed |
Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
3 other providers at this address
Other clinic pharmacy providers in Fairmont
About NPI 1689849804
John Manchin III's National Provider Identifier is 1689849804, issued on Apr 29, 2008. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Fairmont, WV. The record was last updated on Apr 25, 2017.