Individual
STEPHANIE LADALE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 20TH ST, HUNTINGTON, WV 25703-1510
(304) 522-1035
(345) 525-8239
Mailing address
505 20TH ST, HUNTINGTON, WV 25703-1510
(304) 522-1035
(304) 525-8239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03135956
OH
183500000X
Pharmacist
Primary
RP0009698
WV
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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