Healthcare Provider Details

I. General information

NPI: 1972811875
Provider Name (Legal Business Name): EMOYAKPO URHIE B.PHARM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 HAL GREER BLVD RITE AID PHARMACY
HUNTINGTON WV
25701
US

IV. Provider business mailing address

1138 HAL GREER BLVD RITE AID PHARMACY
HUNTINGTON WV
25701
US

V. Phone/Fax

Practice location:
  • Phone: 304-523-0167
  • Fax:
Mailing address:
  • Phone: 304-523-0167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0007496
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: