Provider Demographics
NPI:1033564893
Name:NEW TRAIL CLINICAL PHARMACY SOLUTIONS
Entity Type:Organization
Organization Name:NEW TRAIL CLINICAL PHARMACY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-467-8433
Mailing Address - Street 1:521 JESSE JAMES DR
Mailing Address - Street 2:
Mailing Address - City:ROCK
Mailing Address - State:WV
Mailing Address - Zip Code:24747-9779
Mailing Address - Country:US
Mailing Address - Phone:304-467-8433
Mailing Address - Fax:
Practice Address - Street 1:521 JESSE JAMES DR
Practice Address - Street 2:
Practice Address - City:ROCK
Practice Address - State:WV
Practice Address - Zip Code:24747-9779
Practice Address - Country:US
Practice Address - Phone:304-467-8433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy