Individual
MISTY LINVILLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
650 EAST MCDONALD AVE, MAN, WV 25635
(304) 583-0535
Mailing address
650 EAST MCDONALD AVE, MAN, WV 25635
(304) 583-0535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5587
WV
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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