IndividualActive
Alfonso Carolla, R.PH.
NPI 1083905681 · Pharmacist · Bradshaw, WV
Provider details
- NPI number
- 1083905681
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- No
- License
- 3714 (WV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
10059 Marshall Hwy
Bradshaw, WV 24817
Phone: (304) 967-5001
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751
Bradshaw, WV 24817-0751
Registry dates
- Enumerated
- 2011-04-29
- Last updated
- 2011-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.