Individual
JAMESON KYLE SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM-D
Contact information
Practice address
2901 5TH AVE, HUNTINGTON, WV 25702-1407
(304) 697-0366
(304) 697-1905
Mailing address
2901 5TH AVE, HUNTINGTON, WV 25702-1407
(304) 697-0366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012154
WV
183500000X
Pharmacist
021335
KY
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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