Individual
DAVID ELIAS MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
218 MARKET ST, SPENCER, WV 25276
(304) 927-0011
(304) 891-2027
Mailing address
218 MARKET ST, SPENCER, WV 25276-0685
(304) 927-0011
(304) 891-2027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005878
WV
Other
Enumeration date
05/27/2011
Last updated
05/27/2016
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