Provider Demographics
NPI:1861469926
Name:MCCOMAS, JOHN ERIC (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ERIC
Last Name:MCCOMAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ROUNDHILL RD
Mailing Address - Street 2:606
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-1568
Mailing Address - Country:US
Mailing Address - Phone:304-388-9270
Mailing Address - Fax:304-388-8838
Practice Address - Street 1:3100 MACCORKLE AVE
Practice Address - Street 2:MEMORIAL INPATIENT PHARMACY
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1223
Practice Address - Country:US
Practice Address - Phone:304-388-9270
Practice Address - Fax:304-388-8838
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV5913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist