Individual
RAYMOND HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 WILLIAMS DR, SPENCER, WV 25276-1825
(304) 927-6931
(304) 927-6935
Mailing address
97 WILLIAMS DR, SPENCER, WV 25276-1825
(304) 927-6931
(304) 927-6935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4547
WV
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
4547
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507176
NABP
WV
Enumeration date
12/20/2017
Last updated
12/20/2017
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