Provider Demographics
NPI:1699868992
Name:PHARMACY ASSOCIATES
Entity type:Organization
Organization Name:PHARMACY ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIALTY PHARMACY OPERATIONS MANAG
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:304-529-2143
Mailing Address - Street 1:1407-B
Mailing Address - Street 2:US RT 30 E
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705
Mailing Address - Country:US
Mailing Address - Phone:304-781-0202
Mailing Address - Fax:304-781-0203
Practice Address - Street 1:1407-B
Practice Address - Street 2:US RT 30 E
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705
Practice Address - Country:US
Practice Address - Phone:304-781-0202
Practice Address - Fax:304-781-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV816367332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies