Individual
MRS. TERESA LYNN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 W MAIN ST, BUCKHANNON, WV 26201-2258
(304) 473-0151
(304) 473-0137
Mailing address
119 BOSWORTH DR, ELKINS, WV 26241-7371
(304) 636-6520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006916
WV
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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