Individual
DR. GANNETT PAUL MONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
72 6TH AVE, SAINT ALBANS, WV 25177-2769
(304) 727-2233
Mailing address
7035 HICKORY DR, CHARLESTON, WV 25320-9721
(304) 984-3237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005686
WV
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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