Individual
COLEN HUNTER MONGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-1026
(304) 257-9622
Mailing address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-1026
(304) 257-9622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008159
WV
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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