Provider Demographics
NPI:1578015756
Name:HELMICK, AIMEE BETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:BETH
Last Name:HELMICK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:BETH
Other - Last Name:MOYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 S GROVE ST
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26847-1804
Mailing Address - Country:US
Mailing Address - Phone:304-530-6301
Mailing Address - Fax:304-530-6303
Practice Address - Street 1:111 S GROVE ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847-1804
Practice Address - Country:US
Practice Address - Phone:304-530-6301
Practice Address - Fax:304-530-6303
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012895183500000X
WVRP0006949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist