Individual
MR. KENNETH HAROLD GIANETTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
111 MAIN ST, ANSTED, WV 25812
(304) 658-4426
(304) 658-9129
Mailing address
1801 N 20TH ST, CLARKSBURG, WV 26301-1570
(304) 844-6276
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0002599
WV
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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