Individual
TAWENI MSISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 DUDLEY AVE, PARKERSBURG, WV 26104-1810
(304) 428-0946
Mailing address
155 RICHWOOD CT, BELPRE, OH 45714-8239
(304) 651-8470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011938
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5057523
NABP
—
Enumeration date
02/11/2021
Last updated
02/11/2021
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