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NPI Code Detail

MEDICARE: MANNINGTON PHARMACY

MEDICARE: MANNINGTON PHARMACY
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
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1407642598
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANNINGTON PHARMACY
Provider Business Mailing Address
First Line : 131 MARKET ST
Second Line :
City : MANNINGTON
State : WV
Zip : 26582-1130
Country : US
Telephone Number : 304-986-3811
Fax Number : 304-986-3813
Provider Business Practice Location Address
First Line : 131 MARKET ST
Second Line :
City : MANNINGTON
State : WV
Zip : 26582-1130
Country : US
Telephone Number : 304-986-3811
Fax Number : 304-986-3813
Authorized Official
Title or Position : OWNER
Name : JOHNNA SHAY HARTER
Credential :
Telephone Number : 304-815-2165
Provider Enumeration Date : 04/16/2025
Last Update Date : 04/21/2026

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Directions to “MANNINGTON PHARMACY ” Practice Location

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