Healthcare Provider Details

I. General information

NPI: 1942012398
Provider Name (Legal Business Name): EPPYS DRUG STORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2987 ROBERT C BYRD DR
BECKLEY WV
25801-4400
US

IV. Provider business mailing address

2987 ROBERT C BYRD DR
BECKLEY WV
25801-4400
US

V. Phone/Fax

Practice location:
  • Phone: 304-252-6331
  • Fax:
Mailing address:
  • Phone: 304-252-6331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARY ELIZABETH WADE
Title or Position: OWNER
Credential: RPH
Phone: 304-252-6332