Individual
FORTUNE DOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 FAIRMONT AVE, FAIRMONT, WV 26554-5103
(304) 366-4526
Mailing address
135 EAGLE DR, MAIDSVILLE, WV 26541-8206
(681) 285-9870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010279
WV
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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