Organization Name: | LOOP PLAZA PHARMACY COMPANY |
NPI Number: | 1104847722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM STARRETT MCFARLAND (PRESIDENT) |
Mailing Address: | 66 6th Ave Saint Albans |
State: | WV US |
Postal Code: | 251772769 |
Phone Number: | 3047222233 |
Fax Number: | 3047277042 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |