Individual
PAMELA ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
196 BLUE LICK RD, WINFIELD, WV 25213-9726
(304) 755-1390
Mailing address
196 BLUE LICK RD, WINFIELD, WV 25213-9726
(304) 755-1390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003483
WV
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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