Provider Demographics
NPI:1861790115
Name:PAPCIAK, LOUISE A
Entity type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:A
Last Name:PAPCIAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3619 BROOKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9415
Mailing Address - Country:US
Mailing Address - Phone:304-397-6161
Mailing Address - Fax:
Practice Address - Street 1:101 ROOSEVELT BLVD
Practice Address - Street 2:ROOSEVELT BOULEVARD
Practice Address - City:ELEANOR
Practice Address - State:WV
Practice Address - Zip Code:25070-4000
Practice Address - Country:US
Practice Address - Phone:304-586-9064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist