Individual
LARRY STAMPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4402 PENNSYLVANIA AVE, BIG CHIMNEY, WV 25302-4700
(304) 965-7301
Mailing address
4402 PENNSYLVANIA AVE, BIG CHIMNEY, WV 25302-4700
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT0011416
WV
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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