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Contact Information

ALFONSO D CAROLLA JR, R.PH.
10059 MARSHALL HWY
BRADSHAW, WV24817
 Phone: 304-967-5001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ALFONSO D CAROLLA JR · (Male)

NPI Number 1083905681
Status Active
Credentials R.PH. (Registered Pharmacist)
Entity Individual
Enumeration date 04/29/2011
Last updated 04/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 3714
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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