Healthcare Provider Details

I. General information

NPI: 1760772487
Provider Name (Legal Business Name): HEALTH FACILITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 11/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 TOWN CENTER PLAZA
MILL CREEK WV
26280
US

IV. Provider business mailing address

PO BOX 309
MILL CREEK WV
26280-0309
US

V. Phone/Fax

Practice location:
  • Phone: 304-335-6005
  • Fax: 304-335-6009
Mailing address:
  • Phone: 304-335-6005
  • Fax: 304-335-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberSP0552421
License Number StateWV

VIII. Authorized Official

Name: AMANDA SMITH
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 304-636-6767