Individual
MR. BRANDON L TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
200 EMILY DR, CLARKSBURG, WV 26301-5500
(304) 918-6056
(304) 918-6039
Mailing address
152 OAK ST, JANE LEW, WV 26378-6948
(681) 238-8332
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
0230037671
VA
183700000X
Pharmacy Technician
Primary
PT0010763
WV
Other
Enumeration date
03/23/2021
Last updated
08/14/2023
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