Healthcare Provider Details

I. General information

NPI: 1205881497
Provider Name (Legal Business Name): JOHN WESLEY EARLY III PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SPRING VALLEY ROAD
HUNTINGTON WV
25704
US

IV. Provider business mailing address

1540 SPRING VALLEY ROAD
HUNTINGTON WV
25704
US

V. Phone/Fax

Practice location:
  • Phone: 304-429-6755
  • Fax:
Mailing address:
  • Phone: 304-429-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number18334
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number18334
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: