Provider Demographics
NPI:1689772055
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:SPECIALTY PHARMACY OPERATIONS DIREC
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 1:2311 OHIO AVE
Mailing Address - Street 2:MEMORIAL BRIDGE PLAZA UNIT-B
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2559
Mailing Address - Country:US
Mailing Address - Phone:800-438-3007
Mailing Address - Fax:304-428-9527
Practice Address - Street 1:2311 OHIO AVE
Practice Address - Street 2:MEMORIAL BRIDGE PLAZA UNIT-B
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2559
Practice Address - Country:US
Practice Address - Phone:800-438-3007
Practice Address - Fax:304-428-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19205332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0144228003Medicaid
OH0670939Medicaid
KY90269044Medicaid
WV0144228003Medicaid