MEDICARE: MR. RANDOLPH MARC SARLES RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	3297	WV

General Provider Information

NPI Number	:	1518117936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANDOLPH MARC SARLES RPH

Provider Business Mailing Address
First Line	:	205 COLLEGE AVE
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-2514
Country	:	US
Telephone Number	:	304-887-6632
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 COLLEGE AVE
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24740-2514
Country	:	US
Telephone Number	:	304-887-6632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	02/22/2026

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