Individual
NICOLE TERESA PASSERRELLO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 388-2762
Mailing address
1032 MARINA DR, HURRICANE, WV 25526-9754
(304) 757-8375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005896
WV
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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