Provider Demographics
NPI:1578880340
Name:YOKUM, SAMUEL CASEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:CASEY
Last Name:YOKUM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:PO BOX 8281
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506
Mailing Address - Country:US
Mailing Address - Phone:304-285-7216
Mailing Address - Fax:304-598-4034
Practice Address - Street 1:3040 UNIVERSITY AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505
Practice Address - Country:US
Practice Address - Phone:304-285-7216
Practice Address - Fax:304-598-4034
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVRP0006896183500000X
VA0202211966183500000X
PARP448537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist