Individual
JOELLE BEISWENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 MAIN ST, CLAY, WV 25043
(304) 587-2224
Mailing address
173 MAIN ST, CLAY, WV 25043
(304) 587-2224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03233551
OH
183500000X
Pharmacist
Primary
RP0008139
WV
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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