Individual
JOHN CHRISTOPHER HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7127 HARPER ROAD, GLEN DANIEL, WV 25844
(304) 934-4001
(304) 934-4004
Mailing address
RR 1 BOX 206R, FAYETTEVILLE, WV 25840-9743
(304) 640-7661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP6202
WV
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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