Individual
MRS. KIMBERLY DAWN KNUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PHARMACY
Contact information
Practice address
163 BEAVER PLZ, BEAVER, WV 25813-8400
(304) 255-6630
(304) 256-0524
Mailing address
152 BOBCAT LN, BEAVER, WV 25813-9601
(304) 575-3441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006095
WV
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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