Individual
MRS. DEDE R TALBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
100 MAIN STREET, UNION, WV 24983-0215
(304) 772-5701
(304) 772-3239
Mailing address
PO BOX 215, UNION, WV 24983-0215
(304) 772-5701
(304) 772-3239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005146
WV
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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