MEDICARE: NEW TRAIL CLINICAL PHARMACY SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1033564893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW TRAIL CLINICAL PHARMACY SOLUTIONS

Provider Business Mailing Address
First Line	:	521 JESSE JAMES DR
Second Line	:
City	:	ROCK
State	:	WV
Zip	:	24747-9779
Country	:	US
Telephone Number	:	304-467-8433
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 JESSE JAMES DR
Second Line	:
City	:	ROCK
State	:	WV
Zip	:	24747-9779
Country	:	US
Telephone Number	:	304-467-8433
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY OWNER
Name	:	JAMES DOUGLAS BELLAMY
Credential	:	RPH
Telephone Number	:	304-467-8433

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	04/29/2016

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