Individual
MRS. PAULA R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4012 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-9760
(304) 201-1630
(304) 201-1635
Mailing address
4012 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-9760
(304) 201-1630
(304) 201-1635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3838
WV
183500000X
Pharmacist
5050
VA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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