Individual
THERESA L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
932 CROSS LANES DR, CROSS LANES, WV 25313-1315
(304) 776-3276
(304) 776-2108
Mailing address
932 CROSS LANES DR, CROSS LANES, WV 25313-1315
(304) 776-3276
(304) 776-2108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP5163
WV
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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