Provider Demographics
NPI:1811381585
Name:WHEELING HEALTH RIGHT PHARMACY
Entity Type:Organization
Organization Name:WHEELING HEALTH RIGHT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:REBICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-233-3868
Mailing Address - Street 1:61 29TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-4161
Mailing Address - Country:US
Mailing Address - Phone:304-233-3868
Mailing Address - Fax:866-427-7565
Practice Address - Street 1:61 29TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-4161
Practice Address - Country:US
Practice Address - Phone:304-233-3868
Practice Address - Fax:866-427-7565
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHEELING HEALTH RIGHT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP05524433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy