Provider Demographics
NPI:1508079336
Name:CARNEY, RICHARD (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:CARNEY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9111
Mailing Address - Country:US
Mailing Address - Phone:304-532-2491
Mailing Address - Fax:304-342-0166
Practice Address - Street 1:2300 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1045
Practice Address - Country:US
Practice Address - Phone:304-342-0166
Practice Address - Fax:304-342-0905
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-26795183500000X
WVRP0006783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist