Individual
HARTSEL PAUL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5054 BENNINGTON DR, CROSS LANES, WV 25313-2051
(304) 776-2789
(304) 776-0787
Mailing address
5054 BENNINGTON DR, CROSS LANES, WV 25313-2051
(304) 776-2789
(304) 776-0787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03113560
OH
183500000X
Pharmacist
Primary
RP0003388
WV
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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