Individual
DEDE CASSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 VIRGINIA AVE, SMITHERS, WV 25186-0577
(304) 442-2156
(304) 442-2159
Mailing address
PO BOX 577, SMITHERS, WV 25186-0577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202007665
VA
183500000X
Pharmacist
Primary
3890
WV
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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