Matthew Layne
Pharmacist in Princeton, WV. Individual provider (NPI-1).
NPI number1124321237
StatusActive
Last updated in NPPESDec 10, 2010
Details
- NPI
- 1124321237
- Entity type
- Individual (NPI-1)
- Name
- Matthew Layne
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2010
- Last updated
- Dec 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5378 | WV | Yes |
Practice location
1213 Stafford DrPrinceton, WV 24740-2465
Phone 304-487-1155
Mailing address
252 Manchester CourtPrinceton, WV 24740
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