MEDICARE: MWV HEALTH CARE ASSOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	0515P	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3005851	OTHER		NABP

General Provider Information

NPI Number	:	1235131798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MWV HEALTH CARE ASSOC

Provider Business Mailing Address
First Line	:	PO BOX 2540
Second Line	:
City	:	N CONWAY
State	:	NH
Zip	:	03860-2540
Country	:	US
Telephone Number	:	603-356-0232
Fax Number	:	603-356-0275

Provider Business Practice Location Address
First Line	:	3073 WHITE MOUNTAIN HWY
Second Line	:
City	:	N CONWAY
State	:	NH
Zip	:	03860-5111
Country	:	US
Telephone Number	:	603-356-0232
Fax Number	:	603-356-0275

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MS. JANICE SPINNEY
Credential	:	RPH
Telephone Number	:	603-356-0232

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/13/2009

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Directions to “MWV HEALTH CARE ASSOC ” Practice Location

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