Individual
RYAN VILAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 MIDDLETOWN RD STE 2, FAIRMONT, WV 26554-8254
(304) 368-9355
(304) 368-5422
Mailing address
103 IDA MARIE DR, MORGANTOWN, WV 26508-1902
(304) 816-1907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013764
WV
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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