Individual
KIMBERLY DAWN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
107 KOONTZ AVE, CLENDENIN, WV 25045-9578
(304) 548-2155
Mailing address
107 KOONTZ AVE, CLENDENIN, WV 25045-9578
(304) 548-2155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0005687
WV
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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