Individual
JEANETTE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 PERRY MORRIS SQ, MILTON, WV 25541-1397
(304) 743-4880
Mailing address
7531 WINFIELD RD, WINFIELD, WV 25213-7023
(304) 410-2473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008221
WV
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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