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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY ROADS PHARMACY INC

Active Organization

Pharmacist · GLEN DANIEL, WV

Registration Details

NPI Number
1093881898
Provider Type
Organization
NPI Issued
Nov 27, 2006 (19.438708327282 yrs)
Last Updated
Feb 24, 2014
License
SP0550106 (WV)

Practice Information

Address
109 BOLT RD
GLEN DANIEL, WV, 258440000
Browse WV providers · Browse ZIP 25844
Phone
3049345327
Fax
3049345328
Primary Specialty
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.