Provider First Line Business Practice Location Address:
1 MEDICAL CENTER DRIVE
Provider Second Line Business Practice Location Address:
WVU SCHOOL OF PHARMACY, BOX 9511-HSCN
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-9511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-847-3859
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2007