Individual
LARRY N PETHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1439 MACCORKLE AVE., SAINT ALBANS, WV 25177
(304) 722-5086
(304) 722-5089
Mailing address
218 PARKVIEW DRIVE, SAINT ALBANS, WV 25177
(304) 722-4574
(304) 722-5089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3332
WV
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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