Individual
MADISON HAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
620 LITTLE DENTS RUN RD, MANNINGTON, WV 26582-5106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012741
WV
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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