MEDICARE: ANDY S AUXIER

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	5815	WV

General Provider Information

NPI Number	:	1972600690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDY S AUXIER

Provider Business Mailing Address
First Line	:	107 BRYAN DR
Second Line	:
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-9623
Country	:	US
Telephone Number	:	304-684-1162
Fax Number	:	304-684-2358

Provider Business Practice Location Address
First Line	:	329 2ND ST
Second Line	:
City	:	SAINT MARYS
State	:	WV
Zip	:	26170-1005
Country	:	US
Telephone Number	:	304-684-3784
Fax Number	:	304-684-2358

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/08/2007

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Directions to “ ANDY S AUXIER ” Practice Location

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