Individual
CAVAN O'KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4148
(304) 598-4073
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011612
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0011612
PHARMACIST LICENSE
WV
Enumeration date
08/09/2019
Last updated
08/09/2019
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