Organization
GLEN DANIEL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN STUART JAMISON RPH (OWNER)
(304) 763-5112
Entity
Organization
Contact information
Practice address
6435C HARPER ROAD, SURVEYOR, WV 25932
(304) 934-6337
(304) 934-6333
Mailing address
PO BOX 230, SURVEYOR, WV 25932-0230
(304) 934-6337
(304) 934-6333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
552447
WV
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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