Individual
CAROLINE MARIE PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 SYCAMORE ST, KENOVA, WV 25530-1637
(304) 933-1327
Mailing address
1706 SYCAMORE ST, KENOVA, WV 25530-1637
(304) 933-1327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WV
WV
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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