Individual
AMY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5717 MACCORKLE AVE SE, CHARLESTON, WV 25304-2803
(304) 925-8400
Mailing address
1625 QUARRIER ST APT 2, CHARLESTON, WV 25311-2146
(317) 650-5615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012412
WV
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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