Individual
EVAN BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3413 ROBERT C BYRD DR, BECKLEY, WV 25801-3756
(042) 556-3373
Mailing address
3413 ROBERT C BYRD DR, BECKLEY, WV 25801-3756
(042) 556-3373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009989
WV
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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