Individual
DR. WHITNEY DIANE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
401 MORAN AVE, MULLENS, WV 25882-1430
(304) 294-0343
(304) 294-7503
Mailing address
PO BOX 274, AVONDALE, WV 24811-0274
(304) 888-0026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202218255
VA
183500000X
Pharmacist
Primary
RP0011728
WV
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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