Individual
ALAN LESLIE GAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10404 MACCORKLE AVE, MARMET, WV 25315-1916
(304) 949-2838
Mailing address
979 N RUSTLING RD, SOUTH CHARLESTON, WV 25303-2722
(304) 744-4504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006971
WV
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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