Individual
SHASHIKALA NILMINI SIVAPRAKASAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 21ST ST, NITRO, WV 25143-1740
(304) 755-3391
Mailing address
17 JAMESTOWN RD, CHARLESTON, WV 25314-1975
(304) 610-2168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006853
WV
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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