Individual
DIANE M REDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
261 BERKMORE PLACE, SUITE 1C, BERKELEY SPRINGS, WV 25411
(304) 258-3800
(304) 258-2630
Mailing address
2737 PIOUS RIDGE ROAD, BERKELEY SPRINGS, WV 25411
(304) 258-6376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12037
MD
183500000X
Pharmacist
Primary
4556
WV
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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