Provider Demographics
NPI:1265743678
Name:SOKOS, LOUIS G (RPH)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:G
Last Name:SOKOS
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 1:1404 FAR MDWS
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-9176
Mailing Address - Country:US
Mailing Address - Phone:304-594-9754
Mailing Address - Fax:
Practice Address - Street 1:1404 FAR MDWS
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-9176
Practice Address - Country:US
Practice Address - Phone:304-594-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0004671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist