Individual
ERIC BARDINE BELLDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, MS
Contact information
Practice address
303 MAIN STREET, MASONTOWN, WV 26542-0112
(304) 864-4000
(304) 864-3727
Mailing address
PO BOX 112, MASONTOWN, WV 26542-0112
(304) 864-4000
(304) 864-3727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WV 5073
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV5073
PHARMACIST LICENSE
WV
Enumeration date
08/14/2006
Last updated
07/08/2007
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