Healthcare Provider Details

I. General information

NPI: 1851503601
Provider Name (Legal Business Name): CARDINAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 MARKET ST
WHEELING WV
26003
US

IV. Provider business mailing address

PO DRAWER 6771 2129 MARKET ST
WHEELING WV
26003
US

V. Phone/Fax

Practice location:
  • Phone: 304-232-6527
  • Fax: 304-232-8730
Mailing address:
  • Phone: 304-232-6527
  • Fax: 304-232-8730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT C JONES JR.
Title or Position: VICE PRESIDENT
Credential:
Phone: 304-232-6527