Individual
CARL ANDREW DESPLAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123 STAFFORD DR, PRINCETON, WV 24740-2435
(304) 487-1155
Mailing address
214 PISGAH LN, PRINCETON, WV 24740-8706
(304) 920-1776
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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