Individual
MARCIA GURGANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1213 STAFFORD DR, PRINCETON, WV 24740-2465
(304) 487-1155
Mailing address
1213 STAFFORD DR, PRINCETON, WV 24740-2465
(304) 487-1155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5088
WV
Other
Enumeration date
12/05/2010
Last updated
10/15/2011
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