Provider Demographics
NPI:1235708728
Name:NEW RIVER ECONOMY DRUG INC
Entity Type:Organization
Organization Name:NEW RIVER ECONOMY DRUG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-784-1865
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:VA
Mailing Address - Zip Code:24620-0205
Mailing Address - Country:US
Mailing Address - Phone:276-566-4234
Mailing Address - Fax:276-566-8778
Practice Address - Street 1:7331 PEPPERS FERRY BLVD STE A&B
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:VA
Practice Address - Zip Code:24141-8857
Practice Address - Country:US
Practice Address - Phone:276-566-4234
Practice Address - Fax:276-566-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy