Provider Demographics
NPI:1093327272
Name:COMMUNITY PRESCRIPTION CENTER INC
Entity Type:Organization
Organization Name:COMMUNITY PRESCRIPTION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-583-9910
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:MAN
Mailing Address - State:WV
Mailing Address - Zip Code:25635-0426
Mailing Address - Country:US
Mailing Address - Phone:304-583-9910
Mailing Address - Fax:304-583-9929
Practice Address - Street 1:124 MAIN ST
Practice Address - Street 2:
Practice Address - City:MAN
Practice Address - State:WV
Practice Address - Zip Code:25635-1212
Practice Address - Country:US
Practice Address - Phone:304-583-9910
Practice Address - Fax:304-583-9929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy