Lincoln County Primary Care Center, Inc
Organization Active NPI Community/Retail Pharmacy · Branchland, WV
NPI 1598528564 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1598528564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- LINCOLN COUNTY PRIMARY CARE CENTER, INC
- Practice address
- 5322 McClellan Hwy
Branchland, WV 25506-8725 - Phone
- (681) 500-7277
- Fax
- (681) 500-7281
- NPI assigned
- Feb 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Letitia Ann Weaver-Scites
- Title
- Credentialing Coordinator
- Phone
- (304) 824-5806
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Man Rexcellence Program
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
5322 McClellan Hwy
Branchland, WV 25506-8725
Mailing address
7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2455-9083 | Other | WV | BUSINESS LICENSE |
Other names
- Guyan Valley Pharmacy
Other providers in Branchland, WV
- Courtney Ann Jackson
- Jacqueline Jeffery
- Russell Jeffrey
- Rachael Kelley
- Chassity Kirk
- Lincoln County Primary Care Center, Inc.
- Patricia Ann London
- Earl Jean Mansfield
- Julie Mays
- Sheila Ann Mays
All providers in Branchland, WV · Community/Retail Pharmacy in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.