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

MOUNTAIN LAKE PHARMACY INC

Active Organization

MOUNTAIN LAKE PHARMACY INC is a Long-Term Care Pharmacy organization located in SUMMERSVILLE, West Virginia. NPI 1336228006 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · SUMMERSVILLE, WV

Registration Details

NPI Number
1336228006
Provider Type
Organization
NPI Issued
Nov 3, 2006 (19.802782447702 yrs)
Last Updated
Sep 10, 2010
License
SP0552314 (WV)

Practice Information

Address
1129 BROAD ST
STE 100
SUMMERSVILLE, WV, 266511838
Browse WV providers · Browse ZIP 26651
Phone
3048729000
Fax
3048724419
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in SUMMERSVILLE, WV

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.