Individual
CHESTER G KACZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4749 ROUTE 152, LAVALETTE, WV 25535-9703
(304) 525-3992
Mailing address
1280 SPRING VALLEY DR, APARTMENT # 8, HUNTINGTON, WV 25701-4300
(567) 204-5050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-1-27410
OH
183500000X
Pharmacist
Primary
RP0006907
WV
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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