Individual
ANDREA WICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1348
(304) 645-2095
(304) 645-3783
Mailing address
2 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006457
WV
Other
Enumeration date
04/24/2011
Last updated
04/24/2011
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