Individual
JOSHUA STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
292 MAIN ST, GILBERT, WV 25621-0338
(304) 664-9800
(304) 664-2358
Mailing address
292 MAIN ST, GILBERT, WV 25621-0338
(304) 664-9800
(304) 664-2358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009807
WV
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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