MEDICARE: ALUM CREEK 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	3336C0003X	Community/Retail Pharmacy	SP0552444	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5055795	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1861732018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALUM CREEK PHARMACY,INC

Provider Business Mailing Address
First Line	:	PO BOX 95
Second Line	:
City	:	ALUM CREEK
State	:	WV
Zip	:	25003-0095
Country	:	US
Telephone Number	:	304-756-2180
Fax Number	:

Provider Business Practice Location Address
First Line	:	2162 CHILDRESS RD
Second Line	:
City	:	ALUM CREEK
State	:	WV
Zip	:	25003-9546
Country	:	US
Telephone Number	:	304-756-2180
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP MICHAEL
Credential	:
Telephone Number	:	304-546-7722

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	02/26/2013

Similar Medicare Providers

1578064580 — SEASONS TREATMENT, LLC
Practice Location Address:

2162 CHILDRESS RD
ALUM CREEK, WV
25003-9546

Practice Phone: 304-745-7837
Practice Fax: 360-242-5842

1326622440 — PROFESSIONAL HEARING SOLUTIONS
Practice Location Address:

2150 CHILDRESS RD
ALUM CREEK, WV
25003-9546

Practice Phone: 304-784-2552
Practice Fax: 304-756-3818

1396563789 — DR. DANIELLE LEIGH DILLON DDS
Practice Location Address:

2150 CHILDRESS RD APT 2
ALUM CREEK, WV
25003-9546

Practice Phone: 304-756-9464
Practice Fax:

1780700187 — ALEXANDRA BARBARA PIATEK PHARM D.
Practice Location Address:

35216 N 36TH PL
CAVE CREEK, AZ
85331-9546

Practice Phone: 602-373-4241
Practice Fax:

1215476742 — CARRIE LYNN ONO
Practice Location Address:

370 MESA DR
BOULDER CREEK, CA
95006-9546

Practice Phone: 831-252-4917
Practice Fax:

1629923651 — NYARA FAUCETT
Practice Location Address:

589 MIDWAY RD
ALUM CREEK, WV
25003-9577

Practice Phone: 304-744-1636
Practice Fax:

Directions to “ALUM CREEK PHARMACY,INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.