Individual
MARY ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR # 8100, MORGANTOWN, WV 26506-1200
(304) 598-4848
(304) 598-4849
Mailing address
1 MEDICAL CENTER DR # 8100, MORGANTOWN, WV 26506-1200
(304) 598-4848
(304) 598-4849
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
4861
WV
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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