Provider Demographics
NPI:1841632684
Name:PHARMASSOCIATES LLC
Entity type:Organization
Organization Name:PHARMASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSTATEK
Authorized Official - Suffix:
Authorized Official - Credentials:BSPHARM,RPH,BSN,RN
Authorized Official - Phone:740-535-8068
Mailing Address - Street 1:116 MCLISTER AVE
Mailing Address - Street 2:
Mailing Address - City:MINGO JUNCTION
Mailing Address - State:OH
Mailing Address - Zip Code:43938-1259
Mailing Address - Country:US
Mailing Address - Phone:740-535-8068
Mailing Address - Fax:740-535-8079
Practice Address - Street 1:116 MCLISTER AVE
Practice Address - Street 2:
Practice Address - City:MINGO JUNCTION
Practice Address - State:OH
Practice Address - Zip Code:43938-1259
Practice Address - Country:US
Practice Address - Phone:740-535-8068
Practice Address - Fax:740-535-8079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH41.15573-SA207Q00000X
OH45.15573-SA207QA0401X
OHRN.387475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty