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Individual

DR. DUSTIN LEE RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
3977 E CUMBERLAND RD, BLUEFIELD, WV 24701-5116
(304) 325-6750
(304) 324-4208
Mailing address
90 FOUNTAIN SPRING DR, PETERSTOWN, WV 24963-9720
(304) 667-4848
(304) 324-4208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202208117
VA
183500000X
Pharmacist
Primary
RP0007005
WV

Other

Enumeration date
02/12/2010
Last updated
02/12/2010
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