Individual
AMANDA JEAN KOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
71 COWARDLY LION DR, UNIT A, HEDGESVILLE, WV 25427-6785
(304) 754-5800
Mailing address
2712 WELLTOWN SCHOOL RD, MARTINSBURG, WV 25403-5807
(717) 404-5036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006538
WV
Other
Enumeration date
03/05/2007
Last updated
06/24/2013
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