Provider Demographics
NPI:1992419667
Name:SAMMONS, FRANK DAKOTA (RPH)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:DAKOTA
Last Name:SAMMONS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 393
Mailing Address - Street 2:
Mailing Address - City:OCEANA
Mailing Address - State:WV
Mailing Address - Zip Code:24870-0393
Mailing Address - Country:US
Mailing Address - Phone:304-953-8321
Mailing Address - Fax:
Practice Address - Street 1:894 COOK PKWY
Practice Address - Street 2:
Practice Address - City:OCEANA
Practice Address - State:WV
Practice Address - Zip Code:24870-0019
Practice Address - Country:US
Practice Address - Phone:304-682-8586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0013338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist