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Individual

MR. OWEN WALL GREENWELL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
111 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 523-3502
(304) 522-0891
Mailing address
111 4TH AVENUE, HUNTINGTON, WV 25701-1219
(304) 523-3502
(304) 522-0891

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2864
WV

Other

Enumeration date
05/23/2011
Last updated
05/23/2011
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