MEDICARE: ROSS DRUG 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	SP0552416	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2129941	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205131828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSS DRUG INC

Provider Business Mailing Address
First Line	:	PO BOX 363
Second Line	:
City	:	WEST HAMLIN
State	:	WV
Zip	:	25571-0363
Country	:	US
Telephone Number	:	304-824-4000
Fax Number	:	304-824-4001

Provider Business Practice Location Address
First Line	:	4 UNITY PLAZA
Second Line	:
City	:	WEST HAMLIN
State	:	WV
Zip	:	25571
Country	:	US
Telephone Number	:	304-824-4000
Fax Number	:	304-824-4001

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	ANIL KARNATI
Credential	:
Telephone Number	:	304-824-4000

Provider Enumeration Date	:	01/12/2011
Last Update Date	:	03/29/2016

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Directions to “ROSS DRUG INC ” Practice Location

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