Individual
KIMBERLY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 RETAIL COMMONS PKWY, MARTINSBURG, WV 25403-6183
(304) 264-5201
Mailing address
57 BEST RD, HARPERS FERRY, WV 25425-5270
(304) 261-1727
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT0006236
WV
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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