MEDICARE: FOLLANSBEE PHARMACY INC

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	3336L0003X	Long Term Care Pharmacy
2	333600000X	Pharmacy	SP0552308	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083617799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOLLANSBEE PHARMACY INC

Provider Business Mailing Address
First Line	:	651 COLLIERS WAY
Second Line	:	SUITE 204
City	:	WEIRTON
State	:	WV
Zip	:	26062-5053
Country	:	US
Telephone Number	:	304-723-6331
Fax Number	:	304-723-1131

Provider Business Practice Location Address
First Line	:	651 COLLIERS WAY
Second Line	:	SUITE 204
City	:	WEIRTON
State	:	WV
Zip	:	26062-5053
Country	:	US
Telephone Number	:	304-723-6331
Fax Number	:	304-723-1131

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHN JOSEPH BERNABEI
Credential	:	RPH
Telephone Number	:	304-723-6331

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	02/18/2020

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Directions to “FOLLANSBEE PHARMACY INC ” Practice Location

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