Mountaineer Medical Pharmacy Llc
Community/Retail Pharmacy
120 Medical Park Dr Ste 102, Bridgeport
West Virginia, 26330-9013
304-423-5200 304-848-6050
Mountaineer Medical Pharmacy Llc is a Community/Retail Pharmacy in Bridgeport, West Virginia. It is located at 120 Medical Park Dr Ste 102, Bridgeport and it's customer support contact number is 304-423-5200. The authorized person of Mountaineer Medical Pharmacy Llc is Michael Kovack who is Pharm Mgr of the pharmacy and his contact number is 304-423-5000. Active license number of Mountaineer Medical Pharmacy Llc is SP0552456 for Community/Retail Pharmacy in West Virginia.
Mountaineer Medical Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Mountaineer Medical Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mountaineer Medical Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 120 Medical Park Dr Ste 102, Bridgeport,
West Virginia, 26330-9013 |
| Phone: | 304-423-5200 |
| Fax: | 304-848-6050 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Michael Kovack |
| Position: | Pharm Mgr |
| Contact Number: | 304-423-5000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1134569668 |
| NPI Enumeration Date: | 28 Jun, 2013 |
| NPI Last Update On: | 26 Oct, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountaineer Medical Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | SP0552456 | West Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2141915 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 120 Medical Park Dr Ste 102,
Bridgeport, West Virginia |
| Zip: | 26330-9013 |
| Phone Number: | 304-423-5200 |
| Fax Number: | 304-848-6050 |
Patients can reach Mountaineer Medical Pharmacy Llc at
120 Medical Park Dr Ste 102, Bridgeport, West Virginia or can
call on customer care at 304-423-5200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.