Individual
MR. GEORGE MICHAEL KACSUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 FLOWING SPRINGS RD, CHARLES TOWN, WV 25414-3911
(304) 728-8705
(304) 728-8704
Mailing address
190 FLOWING SPRINGS RD, CHARLES TOWN, WV 25414-3911
(304) 728-8705
(304) 728-8704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006425
WV
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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