Individual
KENNETH KNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5525 CATAWBA HOSPITAL DR, DEPARTMENT OF PHARMACY, CATAWBA, VA 24070-2115
(540) 375-4292
(540) 375-4708
Mailing address
5525 CATAWBA HOSPITAL DR, CATAWBA, VA 24070-2115
(540) 375-4292
(540) 375-4708
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0202009740
VA
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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