| Organization Name: | TRI-COUNTY HEALTH CLINIC INC |
| NPI Number: | 1427380633 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY CRAIG (DIRECTOR OF PHARMACY SERVICES) |
| Mailing Address: | 122 Center St Clay |
| State: | WV US |
| Postal Code: | 250437046 |
| Phone Number: | 3045874555 |
| Fax Number: | 3045874584 |
| NPI Enumeration Date: | 02/12/2010 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | SP0552399 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |