Individual
KATIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 MCCORKLE AVE, SAINT ALBANS, WV 25177-1826
(304) 722-4246
Mailing address
1477 MCCORKLE AVE, SAINT ALBANS, WV 25177-1826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009721
WV
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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