Healthcare Provider Details

I. General information

NPI: 1124188305
Provider Name (Legal Business Name): PHARMCO VENTURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CHATEAU GROVE LN
BARBOURSVILLE WV
25504-1627
US

IV. Provider business mailing address

3 CHATEAU GROVE LN
BARBOURSVILLE WV
25504-1627
US

V. Phone/Fax

Practice location:
  • Phone: 304-736-8310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateWV

VIII. Authorized Official

Name: DAVID CARR
Title or Position: CEO
Credential: RPH
Phone: 304-736-8310