Individual
TERESA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
381 PATTESON DR, MORGANTOWN, WV 26505-3270
(304) 598-2265
Mailing address
381 PATTESON DR, MORGANTOWN, WV 26505-3270
(304) 598-2265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005408
WV
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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