Individual
HAYLEY BROOKE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 ELK PLZ, ELKVIEW, WV 25071-9602
(304) 965-1111
Mailing address
12 WILLIAMTON GROVE DR, ELKVIEW, WV 25071-7422
(304) 545-9782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202220094
VA
183500000X
Pharmacist
Primary
RP0012712
WV
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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