Healthcare Provider Details

I. General information

NPI: 1053344705
Provider Name (Legal Business Name): ASSOCIATED PHARMACISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E MAIN ST
SALEM WV
26426-1303
US

IV. Provider business mailing address

120 E MAIN ST
SALEM WV
26426-1303
US

V. Phone/Fax

Practice location:
  • Phone: 304-782-2171
  • Fax: 304-782-2961
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberSP0551183
License Number StateWV

VIII. Authorized Official

Name: DANIEL ROCK
Title or Position: PRESIDENT
Credential:
Phone: 304-873-1010