Individual
THEODORE AMEREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
265 PENCO RD, WEIRTON, WV 26062-3816
(304) 723-2656
(304) 723-2657
Mailing address
265 PENCO RD, WEIRTON, WV 26062-3816
(304) 723-2656
(304) 723-2657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3043
WV
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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