Preston-Taylor Community Health Centers Incorporated
Organization Active NPI Pharmacy · Thomas, WV
NPI 1962876110 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1962876110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- MP0552420 (WV)
- Legal business name
- PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED
- Practice address
- 30 Cortland Acres LN
Thomas, WV 26292-8066 - Phone
- (304) 463-4200
- Fax
- (304) 463-4201
- NPI assigned
- Nov 25, 2015
- Organization subpart
- No
Authorized official
- Name
- Kristen White
- Title
- Pic
- Phone
- (304) 463-4200
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Community Eye Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | MP0552420 | WV | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
30 Cortland Acres LN
Thomas, WV 26292-8066
Mailing address
30 Cortland Acres LN
Thomas, WV 26292-8066
Phone (304) 463-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155503 | Other | PK |
Other names
- Preston Taylor Pharmacy #2
Other providers in Thomas, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. 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.