MEDICARE: ASSOCIATED PHARMACISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	SP0551183	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5010121	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1053344705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED PHARMACISTS INC

Provider Business Mailing Address
First Line	:	120 E MAIN ST
Second Line	:
City	:	SALEM
State	:	WV
Zip	:	26426-1303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E MAIN ST
Second Line	:
City	:	SALEM
State	:	WV
Zip	:	26426-1303
Country	:	US
Telephone Number	:	304-782-2171
Fax Number	:	304-782-2961

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIEL ROCK
Credential	:
Telephone Number	:	304-873-1010

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	04/02/2008

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Directions to “ASSOCIATED PHARMACISTS INC ” Practice Location

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