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NPI 1689849804

OrganizationActive

John Manchin III

NPI 1689849804 · Clinic Pharmacy · Fairmont, WV

Provider details

NPI number: 1689849804
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: John Manchin, Owner(304) 367-9122

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002XLicense SP0552377 (WV)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

181 Middletown Cir

Fairmont, WV 26554-2015

Phone: (304) 367-9122

Fax: (304) 367-9125

Approximate (ZIP-level) locationGet directions

More WV providers

Mailing address

181 Middletown Cir

Fairmont, WV 26554-2015

Other names (DBA / former)

Doing business as: Manchin Family Pharmacy

Registry dates

Enumerated: 2008-04-29
Last updated: 2017-04-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

John Manchin III — NPI 1689849804, Fairmont, WV | NPI Central