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Individual

DR. ELISHA E WENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
795 N MAIN ST, MARION, VA 24354-3403
(276) 783-4115
(276) 783-1411
Mailing address
795 N MAIN ST, MARION, VA 24354-3403
(276) 783-4115
(276) 783-1411

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208586
VA

Other

Enumeration date
09/19/2009
Last updated
09/19/2009
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