Provider Demographics
NPI:1831412071
Name:SCHWER, CHESTER ARTHUR (RPH)
Entity type:Individual
Prefix:
First Name:CHESTER
Middle Name:ARTHUR
Last Name:SCHWER
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:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537-0127
Mailing Address - Country:US
Mailing Address - Phone:304-329-1820
Mailing Address - Fax:
Practice Address - Street 1:220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-1419
Practice Address - Country:US
Practice Address - Phone:304-329-3600
Practice Address - Fax:304-329-3356
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0002765183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0143462000Medicaid
WV0143462000Medicaid