Individual
AUTUMN M FIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1240 W MAIN ST, BRIDGEPORT, WV 26330-1657
(304) 842-0647
Mailing address
175 RIDGEWAY DR, BRIDGEPORT, WV 26330-1176
(304) 672-1052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0014294
WV
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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