Individual
RAYMOND GLEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 TYGART MALL LOOP, FAIRMONT, WV 26554-2187
(304) 366-9117
(304) 366-1583
Mailing address
17 TROY LN, FAIRMONT, WV 26554-1463
(304) 816-2036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005216
WV
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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