Individual
DYLAN CAMDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 BIRCH ST, SOUTH CHARLESTON, WV 25309-1116
(678) 756-1020
Mailing address
704 BIRCH ST, SOUTH CHARLESTON, WV 25309-1116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008738
WV
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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