SAMUEL RANDOLPH BALLENGEE

WILLIAMSON, WV
NPI1508985599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WV  rp0006318)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- SAMUEL RANDOLPH BALLENGEE pharmd
54 W 2ND AVE
WILLIAMSON, WV 25661-3506
Phone number: 304-475-0080
Mailing Address
-- SAMUEL RANDOLPH BALLENGEE pharmd
PO BOX 538
WILLIAMSON, WV 25661-0538
Phone number: 304-475-0080
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