Healthcare Provider Details

I. General information

NPI: 1992882146
Provider Name (Legal Business Name): HURLEY DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CORNER OF 3RD AVE AND LOGAN ST
WILLIAMSON WV
25661
US

IV. Provider business mailing address

CORNER OF 3RD AVE AND LOGAN ST
WILLIAMSON WV
25661
US

V. Phone/Fax

Practice location:
  • Phone: 304-235-3535
  • Fax: 304-235-1258
Mailing address:
  • Phone: 304-235-3535
  • Fax: 304-235-1258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberSP0550134
License Number StateWV

VIII. Authorized Official

Name: MRS. NICOLE D MCNAMEE
Title or Position: OWNER/PHARMACIST
Credential: PHARM D
Phone: 304-235-3535