Individual
CORIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 OAK ST, KENOVA, WV 25530-1215
(304) 453-3504
Mailing address
1405 OAK ST, KENOVA, WV 25530-1215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9242
WV
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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