Individual
JESSICA COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 TEAYS VALLEY RD, HURRICANE, WV 25526-9604
(304) 760-1123
(304) 760-1131
Mailing address
PO BOX 57, BUFFALO, WV 25033-0057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008013
WV
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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