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Individual

FRED S ANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 CAROLINA AVE, CHESTER, WV 26034-1319
(304) 387-2731
Mailing address
436 HELEN ST, WEIRTON, WV 26062-3536
(304) 723-6356

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4010
WV

Other

Enumeration date
08/14/2006
Last updated
07/08/2007
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