Provider Demographics
NPI:1184799827
Name:MAKELA, EUGENE H (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:H
Last Name:MAKELA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:EUGENE
Other - Middle Name:H
Other - Last Name:MAKELA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:670 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2423
Mailing Address - Country:US
Mailing Address - Phone:304-599-6264
Mailing Address - Fax:304-293-7672
Practice Address - Street 1:670 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2423
Practice Address - Country:US
Practice Address - Phone:304-599-6264
Practice Address - Fax:304-293-7672
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV49421835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric