Individual
PAULA SUE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH
Contact information
Practice address
169 ROBERTS RD, TORNADO, WV 25202
(304) 756-3463
Mailing address
169 ROBERTS RD, TORNADO, WV 25202-9633
(304) 756-3436
(304) 720-3218
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT0000955
WV
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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