Individual
GWENDOLINN LOUISE STAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 STATE ROUTE 20, PINE GROVE, WV 26419
(304) 889-3131
(304) 889-3315
Mailing address
PO BOX 389, PINE GROVE, WV 26419-0389
(304) 889-3131
(304) 889-3315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007886
WV
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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