Provider Demographics
NPI:1952472383
Name:BELINGTON PRESCRIPTION CENTER INC
Entity Type:Organization
Organization Name:BELINGTON PRESCRIPTION CENTER INC
Other - Org Name:BELINGTON PRESCRIPTION CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:A
Authorized Official - Last Name:GENIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-823-1198
Mailing Address - Street 1:206 BRIDGE ST
Mailing Address - Street 2:PO BOX 1050
Mailing Address - City:BELINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:26250-9319
Mailing Address - Country:US
Mailing Address - Phone:304-823-1198
Mailing Address - Fax:304-823-1661
Practice Address - Street 1:206 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BELINGTON
Practice Address - State:WV
Practice Address - Zip Code:26250-9319
Practice Address - Country:US
Practice Address - Phone:304-823-1198
Practice Address - Fax:304-823-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP0550639333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5001374OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5001374OtherNCPDP PROVIDER IDENTIFICATION NUMBER