Healthcare Provider Details

I. General information

NPI: 1629386719
Provider Name (Legal Business Name): MARCELLA ELLEN CRYSER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10010 FRANKFORT HWY
FORT ASHBY WV
26719-9277
US

IV. Provider business mailing address

2503 PARRILL HOLLOW RD
BURLINGTON WV
26710-7452
US

V. Phone/Fax

Practice location:
  • Phone: 304-298-4557
  • Fax: 304-298-4259
Mailing address:
  • Phone: 304-359-1470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0005456
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: