Individual
MATTHEW STEPHEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 546-3620
Mailing address
10945 WATERLOO SMITH CHURCH RD, LEON, WV 25123-8581
(304) 546-3620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013270
WV
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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