Individual
TRAVIS SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 TYGART MALL LOOP, FAIRMONT, WV 26554-2187
(304) 366-9115
Mailing address
32 TYGART MALL LOOP, FAIRMONT, WV 26554-2187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006887
WV
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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