Individual
DR. SHANNA RAE SECRETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
208 GIANT ST, MORGANTOWN, WV 26501-2440
(304) 599-2369
Mailing address
208 GIANT ST, MORGANTOWN, WV 26501-2440
(304) 599-2369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006690
WV
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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