Individual
MR. TODD ALLEN MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 21ST ST, NITRO, WV 25143-1739
(304) 755-0128
(304) 204-2223
Mailing address
101 21ST ST, NITRO, WV 25143-1739
(304) 755-0128
(304) 204-2223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0550911
WV
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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