Individual
SEBASTIAN REBOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 FORBES DR, MARTINSBURG, WV 25404-0002
(304) 262-4697
Mailing address
PO BOX 319, HARPERS FERRY, WV 25425-0319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007098
WV
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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