MEDICARE: FAST & FRIENDLY PHARMACY RC LLC

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	SP0552418	WV

General Provider Information

NPI Number	:	1609157759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAST & FRIENDLY PHARMACY RC LLC

Provider Business Mailing Address
First Line	:	PO BOX 621
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-0621
Country	:	US
Telephone Number	:	304-269-3737
Fax Number	:	304-269-3770

Provider Business Practice Location Address
First Line	:	4 GARTON PLZ
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-2129
Country	:	US
Telephone Number	:	304-269-3737
Fax Number	:	304-269-3770

Authorized Official
Title or Position	:	PHARMACIST
Name	:	JOHN L METHENY
Credential	:	RPH
Telephone Number	:	304-269-3737

Provider Enumeration Date	:	09/02/2011
Last Update Date	:	05/27/2022

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