Individual
MRS. MELISSA HINES DEFIBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
450 11TH ST, ATTN: PHARMACY, ELKINS, WV 26241-3765
(304) 636-6938
(304) 696-7037
Mailing address
PO BOX 87, MILL CREEK, WV 26280-0087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5911
WV
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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