Individual
KYLE MORGAN SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACISTS
Contact information
Practice address
5450 BIG TYLER RD, CROSS LANES, WV 25313-1146
(304) 776-5178
Mailing address
302 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9349
(304) 757-8952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009719
WV
Other
Enumeration date
08/18/2013
Last updated
07/12/2016
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