Organization
ARACOMA DRUG OF CHAPMANVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BAKER PHARMD (PRESIDENT)
(304) 855-4541
Entity
Organization
Contact information
Practice address
772 MAIN STREET, CHAPMANVILLE, WV 25508
(304) 855-4541
(304) 855-4355
Mailing address
PO BOX 1570, 3602 NORTH MAIN STREET, CHAPMANVILLE, WV 25508
(304) 855-4541
(304) 855-4355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138864000
—
WV
Enumeration date
05/23/2006
Last updated
07/07/2020
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