Individual
KAYLA GORNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
111 KRUGER ST, WHEELING, WV 26003-5120
(304) 242-2565
Mailing address
150 COLUMBIA AVE, WHEELING, WV 26003-5106
(304) 231-4777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009830
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0009830
PHARMACIST LICENSE
WV
Enumeration date
09/10/2016
Last updated
09/10/2016
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