Individual
BRIAN JAMES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
66 W PIKE ST, CANONSBURG, PA 15317-1314
(724) 745-6480
Mailing address
820 N LIBERTY ST, WAYNESBURG, PA 15370-8032
(724) 627-7348
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
RP032129L
PA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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