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Individual

JOHN E CORKREAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
100 E MAIN ST, SPENCER, WV 25276-1503
(304) 927-2980
(304) 927-3190
Mailing address
212 VALLIS DR, SPENCER, WV 25276-1038
(304) 927-4943
(304) 927-3190

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3046
WV

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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