Individual
CHARLO M JATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
401 MORAN AVE, MULLENS, WV 25882-1430
(304) 294-0343
(304) 294-7503
Mailing address
1191 STEWART ST, 1191 STEWART STREET, WELCH, WV 24801-2133
(304) 436-4938
(304) 294-7503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004597
WV
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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