Individual
MRS. GWENDOLYN NECESSARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ST. RT. 16, LORADO, WV 25630-0047
(304) 583-9708
Mailing address
PO BOX 47, LORADO, WV 25630-0047
(304) 583-9708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0003864
WV
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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