Individual
KAIRA DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RT 250 SOUTH RAINBOW PLAZA, MANNINGTON, WV 26582
(304) 986-2830
Mailing address
24 TURNSTONE DR, MORGANTOWN, WV 26505-3869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010714
WV
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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