Individual
PATRICIA MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 HAL GREER BLVD, HUNTINGTON, WV 25701-3700
(304) 523-0167
Mailing address
5222 KELLY RD, CROSS LANES, WV 25313-1656
(419) 439-2260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007744
WV
183500000X
Pharmacist
03331257-3
OH
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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