AVERIAL MADONNA PORTO

MORGANTOWN, WV
NPI1871846253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WV  0007917)
Additional Taxonomies183500000X Pharmacist
(Licence: PA  447251)
183500000X Pharmacist
(Licence: OH  03132419)
Enumeration Date2012-10-22
Last Update Date2012-10-22
Business Address
AVERIAL MADONNA PORTO PHARM D
124 SKEMP AVE
MORGANTOWN, WV 26505-6333
Phone number: 304-376-2460
Mailing Address
AVERIAL MADONNA PORTO PHARM D
124 SKEMP AVE
MORGANTOWN, WV 26505-6333
Phone number: 304-376-2460