Individual
SETH LARENCE THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2409 ARGILLITE RD, FLATWOODS, KY 41139-1955
(606) 833-8027
(606) 833-2567
Mailing address
419 11TH AVE, HUNTINGTON, WV 25701-3118
(304) 544-8425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020602
KY
183500000X
Pharmacist
03439500
OH
183500000X
Pharmacist
RO0010918
WV
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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