Individual
AMANDA JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 12TH ST, WELLSBURG, WV 26070-1572
(304) 737-0205
Mailing address
126 12TH ST, WELLSBURG, WV 26070-1572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007290
WV
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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