Individual
HALEY MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 RANDOLPH AVE, ELKINS, WV 26241-3948
(304) 636-5696
(304) 646-3363
Mailing address
505 RANDOLPH AVE, ELKINS, WV 26241-3948
(304) 636-5696
(304) 636-3363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010243
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598868242
—
WV
Enumeration date
10/08/2020
Last updated
10/08/2020
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