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Individual

JOSEPH ANTHONY IERISE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
B.S PHARMACY

Contact information

Practice address
866 MAIN ST, FOLLANSBEE, WV 26037-1422
(304) 527-0150
(304) 527-4980
Mailing address
138 LINCOLN PL, FOLLANSBEE, WV 26037-1916
(304) 527-0667
(304) 527-4980

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005677
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0141966000
WV
Enumeration date
05/27/2005
Last updated
07/09/2007
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