Individual
MICHAEL KEITH UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6414 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1240
(304) 736-0528
Mailing address
6414 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1240
(304) 736-0528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017250
KY
183500000X
Pharmacist
Primary
RP0008601
WV
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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