Individual
MARLEY KEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
22630 NORTHWESTERN PIKE, ROMNEY, WV 26757-6379
(304) 822-1000
Mailing address
27 TAYLOR DR, ROMNEY, WV 26757-6329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP0012721
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192245
NABP
—
01
—
RP0012721
WV BOARD OF PHARMACY
WV
Enumeration date
10/15/2021
Last updated
10/15/2021
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