Provider Demographics
NPI:1609974898
Name:PHARMACY ASSOCIATES, INC
Entity Type:Organization
Organization Name:PHARMACY ASSOCIATES, INC
Other - Org Name:COMPRECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEC PHARMA OPS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:304-529-2143
Mailing Address - Street 1:1807 W PIKE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-2345
Mailing Address - Country:US
Mailing Address - Phone:800-861-1661
Mailing Address - Fax:304-326-2051
Practice Address - Street 1:1807 W PIKE ST
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-2345
Practice Address - Country:US
Practice Address - Phone:800-861-1661
Practice Address - Fax:304-326-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV005332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90269044Medicaid
OH0670939Medicaid
WV0144228004Medicaid
KY90269044Medicaid