Matthew Young

NPI #1073905253 in Rainelle, West Virginia

Provider Information

NPI Number: 1073905253
Entity Type: Individual
Name: Matthew Young
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 25, 2015
Last Updated: Feb 25, 2015

Practice Location

Address: 200 KANAWHA AVE
City: Rainelle
State: West Virginia
ZIP Code: 25962-1108
Phone: (304) 438-9204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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