Individual
MR. RALPH RICHARD MACE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
440 S MAIN ST, PHILIPPI, WV 26416-1240
(304) 457-4233
(304) 457-6760
Mailing address
303 S MAIN ST, PHILIPPI, WV 26416-1240
(304) 457-4233
(304) 457-6760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13962
MD
183500000X
Pharmacist
Primary
5930
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5930
STATE LICENSE
WV
Enumeration date
12/06/2006
Last updated
01/13/2021
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