Individual
SAMANTHA FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
200 VETERANS AVE, BECKLEY, WV 25801-6444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010618
WV
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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