Healthcare Provider Details
I. General information
NPI: 1013890805
Provider Name (Legal Business Name): WISE ECONOMY DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
602 NORTON RD
WISE VA
24293-5600
US
IV. Provider business mailing address
PO BOX 205
HURLEY VA
24620-0205
US
V. Phone/Fax
- Phone: 276-566-4234
- Fax: 276-566-8778
- Phone: 276-566-4234
- Fax: 276-566-8778
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BROWN
Title or Position: OWNER
Credential:
Phone: 276-566-4234