Individual
MISTY WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 NORMAN MORGAN BLVD, LOGAN, WV 25601-3477
(304) 752-7459
Mailing address
77 NORMAN MORGAN BLVD, LOGAN, WV 25601-3477
(304) 752-7459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5430
WV
183500000X
Pharmacist
RP0005430
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RP0005430
—
WV
Enumeration date
11/06/2020
Last updated
11/06/2020
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