Individual
JOSEPH FAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1219
Mailing address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009481
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
I DO NOT HAVE THESE NUBMERS
—
Enumeration date
08/10/2020
Last updated
08/10/2020
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