| Riverview Pharmacy | |
|
107 Koontz Ave Clendenin WV 25045 | |
| (304) 548-7272 | |
| (304) 548-7149 |
| Full Name | Riverview Pharmacy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 107 Koontz Ave, Clendenin, West Virginia |
| Authorized Official Name and Position | Scott A Brown (PHARMACY DIRECTOR) |
| Authorized Official Contact | 3045487272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Pharmacy Po Box 664 Clendenin WV 25045-0664 Ph: (304) 548-7272 | Riverview Pharmacy 107 Koontz Ave Clendenin WV 25045 Ph: (304) 548-7272 |
| NPI Number | 1285928804 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285928804 | NPI | - | NPPES |
| MP0552393 | Other | WV | PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clendenin Health Center Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-734-2040 Fax: 301-734-2047 | |
Clendenin Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave., Suite 200, Clendenin, WV 25045 Phone: 304-548-4900 |