Individual
TRENTON PONGSUGREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
130 GREENBAG RD, MORGANTOWN, WV 26501-7155
(304) 292-6066
Mailing address
130 GREENBAG RD, MORGANTOWN, WV 26501-7155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013798
WV
Other
Enumeration date
06/26/2024
Last updated
07/13/2024
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