Provider Demographics
NPI:1851924484
Name:DARNOLD, AMY (RPH)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:DARNOLD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 SHIELDS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:WV
Mailing Address - Zip Code:26337-6442
Mailing Address - Country:US
Mailing Address - Phone:304-481-7185
Mailing Address - Fax:
Practice Address - Street 1:2107 PIKE ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-6973
Practice Address - Country:US
Practice Address - Phone:304-485-5517
Practice Address - Fax:304-485-8491
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP00006087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVRP00006087OtherWV BOARD OF PHARMACY