MEDICARE: AMANDA JEAN KOUGH PHARMD

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	RP0006538	WV

General Provider Information

NPI Number	:	1841329521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA JEAN KOUGH PHARMD

Provider Business Mailing Address
First Line	:	2712 WELLTOWN SCHOOL RD
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25403-5807
Country	:	US
Telephone Number	:	717-404-5036
Fax Number	:

Provider Business Practice Location Address
First Line	:	71 COWARDLY LION DR
Second Line	:	UNIT A
City	:	HEDGESVILLE
State	:	WV
Zip	:	25427-6785
Country	:	US
Telephone Number	:	304-754-5800
Fax Number	:

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	06/24/2013

Similar Medicare Providers

1952300931 — DR. VICKI SHAMBLEN WILLIAMS PHARMD
Practice Location Address:

71 COWARDLY LION DR
HEDGESVILLE, WV
25427-6785

Practice Phone: 304-754-5800
Practice Fax:

1083780191 — RPHV LLC
Practice Location Address:

71 COWARDLY LION DR
HEDGESVILLE, WV
25427-6785

Practice Phone: 304-754-5800
Practice Fax: 304-754-3400

1811440373 — JAMES DOUGLAS PT
Practice Location Address:

71 COWARDLY LION DR , UNIT D
HEDGESVILLE, WV
25427-6785

Practice Phone: 304-754-5000
Practice Fax:

1497200513 — PROFESSIONAL SPORTSCARE & REHAB OF WEST VIRGINIA, LLC
Practice Location Address:

71 COWARDLY LION DR , UNIT D
HEDGESVILLE, WV
25427-6785

Practice Phone: 304-754-5002
Practice Fax:

1346235520 — MS. SARAH RENEE FRASHURE PHARMD
Practice Location Address:

71 COWARDLY LION DR
HEDGESVILLE, WV
25427-6779

Practice Phone: 304-754-5800
Practice Fax: 304-754-3800

1528028800 — DAVID L KULLING M.D.
Practice Location Address:

452 PEACE PIPE LN
HEDGESVILLE, WV
25427-6637

Practice Phone: 814-577-4615
Practice Fax:

Directions to “ AMANDA JEAN KOUGH PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.