Matthew Young

NPI 1073905253 - Pharmacist - 183500000X

NPI Details
NPI 1073905253
Gender Male
Enumeration Date 02/25/2015
Last Updated 02/25/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
200 KANAWHA AVE
RAINELLE WV, 25962-1108, US
Phone (304) 438-9204
Fax (304) 438-5122
Business Location
200 KANAWHA AVE
RAINELLE WV, 25962-1108, US
Phone (304) 438-9204
Fax (304) 438-5122
Toxanomy
Taxonomy Code 183500000X
License State West Virginia
License Number RP0008891
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According to our database, Matthew Young NPI is 1073905253, taxonomy code is 183500000X and license number is RP0008891, license state is located at West Virginia. Matthew Young physically located at 200 Kanawha Ave, Rainelle WV, 25962-1108. NPI Number Matthew Young has the Individual type.

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1073905253 NPI number is provided on an as is basis without warranty of any kind. 1073905253 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Young are for informational purposes only.