Fae Cleda Vincent PHARMACIST

NPI 1043659402 - Pharmacist - 183500000X

NPI Details
NPI 1043659402
Gender Female
Enumeration Date 06/19/2013
Last Updated 06/19/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2800 MEADOWBROOK MALL
BRIDGEPORT WV, 26330-9795, US
Phone (304) 842-7779
Fax
Business Location
6945 BEVERLY PIKE
FAIRMONT WV, 26554-7852, US
Phone (304) 366-8297
Fax
Toxanomy
Taxonomy Code 183500000X
License State West Virginia
License Number 3153
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According to our database, Fae Cleda Vincent PHARMACIST NPI is 1043659402, taxonomy code is 183500000X and license number is 3153, license state is located at West Virginia. Fae Cleda Vincent PHARMACIST physically located at 2800 Meadowbrook Mall, Bridgeport WV, 26330-9795. NPI Number Fae Cleda Vincent PHARMACIST has the Individual type.

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1043659402 NPI number is provided on an as is basis without warranty of any kind. 1043659402 is maintained by the National Plan & Provider Enumeration System. The contents of Fae Cleda Vincent PHARMACIST are for informational purposes only.