Provider Demographics
NPI:1043379993
Name:HOOD'S PHARMACY INC
Entity Type:Organization
Organization Name:HOOD'S PHARMACY INC
Other - Org Name:TRAUBERT'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-527-0150
Mailing Address - Street 1:PO BOX 455
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-0455
Mailing Address - Country:US
Mailing Address - Phone:304-527-3269
Mailing Address - Fax:304-527-3413
Practice Address - Street 1:1429 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1320
Practice Address - Country:US
Practice Address - Phone:304-737-0383
Practice Address - Fax:304-737-2531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
WVSP05503043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0142340000Medicaid
2109496OtherPK
1043600001Medicare NSC