Individual
JUSTIN BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
889 VENTURE DR, SUITE 2, MORGANTOWN, WV 26508-7311
(304) 292-2787
Mailing address
23 POPPER ST, MANAHAWKIN, NJ 08050-5613
(609) 290-1275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009291
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0009291
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
08/26/2015
Last updated
08/26/2015
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