Individual
MR. JUSTIN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
115 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-1028
(304) 845-0390
(304) 845-0391
Mailing address
115 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-1028
(304) 845-0390
(304) 845-0391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WV7019
WV
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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