Individual
JOHN LOUIS PUTOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 BLUERIDGE AVE, PRINCETON, WV 24740-4226
(304) 431-2105
(304) 431-2116
Mailing address
176 BLUERIDGE AVE, PRINCETON, WV 24740-4226
(304) 431-2105
(304) 431-2116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5094
WV
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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