Individual
MRS. HOLLY DENISE GEVENOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4077 ROBERT C BYRD DRIVE, BECKLEY, WV 25801
(304) 252-7313
Mailing address
150 TWIN OAKS DRIVE, SHADY SPRING, WV 25918
(304) 763-3593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006762
WV
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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