Individual
LIVIA O ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 744-8362
Mailing address
PO BOX 58183, CHARLESTON, WV 25358-0183
(304) 550-6993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4616
PR
183500000X
Pharmacist
Primary
6724
WV
183500000X
Pharmacist
PS-32479
FL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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