Individual
KRISTY PUSTOVARH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 STAFFORD DR, PRINCETON, WV 24740-2466
(304) 487-2445
Mailing address
1298 STAFFORD DR, PRINCETON, WV 24740-2466
(304) 487-2445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009269
WV
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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