Healthcare Provider Details

I. General information

NPI: 1225265341
Provider Name (Legal Business Name): DBS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 MID ATLANTIC DR
MORGANTOWN WV
26508-4292
US

IV. Provider business mailing address

7000 MID ATLANTIC DR
MORGANTOWN WV
26508-4292
US

V. Phone/Fax

Practice location:
  • Phone: 304-594-9955
  • Fax: 304-594-9009
Mailing address:
  • Phone: 304-594-9955
  • Fax: 304-594-9009

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 NumberSP0552396
License Number StateWV

VIII. Authorized Official

Name: ERIC BELLDINA
Title or Position: MEMBER
Credential:
Phone: 304-594-9955