Individual
DIANE NELSON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BUCKHANNON XRDS, BUCKHANNON, WV 26201-8422
(304) 472-0834
Mailing address
3285 HOLLY GROVE RD, ROCK CAVE, WV 26234-5715
(304) 924-5610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP002871
WV
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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