Individual
MICHAEL JAMES EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3538 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 212-7207
(888) 808-0795
Mailing address
3538 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 212-7207
(888) 808-0795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03317167
OH
183500000X
Pharmacist
Primary
RP0004542
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0004542
STATE BOARD OF PHARMACY
WV
Enumeration date
05/03/2013
Last updated
05/03/2013
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