Individual
KANDY ANNTONETTE FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
Mailing address
311 LAKEVIEW DR, MORGANTOWN, WV 26508-8080
(304) 594-0463
(304) 493-0463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302021329
MI
183500000X
Pharmacist
Primary
RP0006040
WV
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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