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Individual

MARGARET GRAY NEIDHARDT-SHIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
75 CANYON VLG, MORGANTOWN, WV 26508-9080

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT0011724
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30248751
PHARMACY TECHNICIAN CERTIFICATION BOARD
01
PT0011724
STATE OF WEST VIRGINIA - BOARD OF PHARMACY - REGISTERED PHARMACY TECHNICIAN
WV
Enumeration date
03/18/2025
Last updated
03/18/2025
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