Provider Demographics
NPI:1033710504
Name:PAULEY, JAMES AARON (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:AARON
Last Name:PAULEY
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 1:609 SAPPHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-1078
Mailing Address - Country:US
Mailing Address - Phone:304-654-0581
Mailing Address - Fax:
Practice Address - Street 1:167 PROGRESS WAY
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-7450
Practice Address - Country:US
Practice Address - Phone:304-562-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty