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Individual

ANDREW BAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
6531 MACCORKLE AVE SE, CHARLESTON, WV 25304-2921
(304) 925-4721
Mailing address
76 JOHN WESLEY DR, CHARLESTON, WV 25302-4599

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007699
WV

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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