Healthcare Provider Details
I. General information
NPI: 1861496812
Provider Name (Legal Business Name): W S ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2005
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
404 N FRUITLAND BLVD
SALISBURY MD
21801-7261
US
IV. Provider business mailing address
404 N FRUITLAND BLVD
SALISBURY MD
21801-7261
US
V. Phone/Fax
- Phone: 410-749-8401
- Fax: 410-860-1155
- Phone: 410-749-8401
- Fax: 410-860-1155
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | P01701 |
| License Number State | MD |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFF
SHERR
Title or Position: PRESIDENT
Credential: RPH
Phone: 410-749-8401