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Individual

MR. JASON ROMAN GEVENOSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2987 ROBERT C BYRD DR, BECKLEY, WV 25801-4400
(304) 252-6331
(304) 252-0075
Mailing address
150 TWIN OAKS DRIVE, SHADY SPRING, WV 25918
(304) 763-3593

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006766
WV

Other

Enumeration date
10/19/2010
Last updated
10/29/2018
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