Individual
MS. SALLY DUANN VANDERSLICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH., BCNP, FAPHA
Contact information
Practice address
3601 MORGANTOWN INDUSTRIAL PARK, MORGANTOWN, WV 26501-2346
(304) 215-3512
(304) 292-8642
Mailing address
3601 MORGANTOWN INDUSTRIAL PARK, MORGANTOWN, WV 26501-2346
(304) 215-3512
(304) 292-8642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS 30248
FL
1835N0905X
Nuclear Pharmacist
0202011669
VA
1835N0905X
Nuclear Pharmacist
03-1-20943
OH
1835N0905X
Nuclear Pharmacist
12921
MD
1835N0905X
Nuclear Pharmacist
2001014313
MO
1835N0905X
Nuclear Pharmacist
26017733
IN
1835N0905X
Nuclear Pharmacist
Primary
RP0007024
WV
1835N0905X
Nuclear Pharmacist
RP046130R
PA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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