Healthcare Provider Details

I. General information

NPI: 1326064288
Provider Name (Legal Business Name): HEALTH FACILITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 IVY LN
PARSONS WV
26287-1337
US

IV. Provider business mailing address

149 IVY LN
PARSONS WV
26287-1337
US

V. Phone/Fax

Practice location:
  • Phone: 304-478-2319
  • Fax: 304-478-2532
Mailing address:
  • Phone: 304-478-2319
  • Fax: 304-478-2532

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 NumberSP0552328
License Number StateWV

VIII. Authorized Official

Name: AMANDA SMITH
Title or Position: PHARMACY DIRECTOR
Credential: BS
Phone: 304-478-2319