Individual
SHAINA KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012291
WV
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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