Provider Demographics
NPI:1043066566
Name:NEXT STEP WEST VIRGINIA
Entity type:Organization
Organization Name:NEXT STEP WEST VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACY OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FALKINBURG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:843-368-6035
Mailing Address - Street 1:550 SAINT MICHAEL ST STE B
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602-2200
Mailing Address - Country:US
Mailing Address - Phone:833-855-1769
Mailing Address - Fax:251-202-6416
Practice Address - Street 1:1405 CHESTNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:KENOVA
Practice Address - State:WV
Practice Address - Zip Code:25530-1235
Practice Address - Country:US
Practice Address - Phone:833-855-1769
Practice Address - Fax:251-202-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy