Individual
ELADIO MAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
324 MILLER MOUNTAIN DR, WEBSTER SPRINGS, WV 26288-1026
(304) 847-5151
(304) 847-2800
Mailing address
1408 CHAPEL RD, GASSAWAY, WV 26624-9531
(304) 364-5027
(304) 847-2800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2986
WV
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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