Samuel Anthony Arco, R.PH.
Individual provider Active NPI Pharmacist · Charleston, WV
NPI 1992076459 · NPPES record last updated Jan 15, 2012
Key facts
- NPI
- 1992076459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3251 (WV)
- Practice address
- 701 Lee St E
Charleston, WV 25301-1706 - Phone
- (304) 720-8341
- Fax
- (304) 720-8343
- NPI assigned
- Jan 15, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3251 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fruth Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3251 | WV | Yes |
Addresses
Primary practice location
701 Lee St E
Charleston, WV 25301-1706
Mailing address
701 Lee St E
Charleston, WV 25301-1706
Phone (304) 720-8341
Other providers in Charleston, WV
- Susan Arbogast
- Liza A. Arceo
- Alex Archinal
- Christina M Arco
- Elizabeth Arco
- Christina Arcuri
- Scott Anthony Area
- Abinet Aregahgn
- Arete Coaching and Consulting, LLC
- Jelena Argenbright
All providers in Charleston, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.