Individual
AMANDA BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
121 10TH ST, DUNBAR, WV 25064-3103
(304) 768-0023
Mailing address
5208 STEPHEN WAY, CROSS LANES, WV 25313-1162
(304) 546-4371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03230741
OH
183500000X
Pharmacist
Primary
RP0007043
WV
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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