Individual
JEFFREY MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4541 5TH STREET RD, HUNTINGTON, WV 25701-9563
(304) 522-6090
(304) 522-6094
Mailing address
4800 ROUTE 152, LAVALETTE, WV 25535-9772
(304) 522-3260
(304) 522-6094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005546
WV
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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