Individual
DONALD TROY BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 MACCORKLE AVENUE, ST. ALBANS, WV 25177
(304) 722-3335
Mailing address
1207 CROWN POINT DRIVE, HURRICANE, WV 25526
(130) 494-1439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00005735
WV
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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