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Kristy Pustovarh

Pharmacist in Princeton, WV. Individual provider (NPI-1).

NPI number1164038303
StatusActive
Last updated in NPPESSep 22, 2020

Details

NPI
1164038303
Entity type
Individual (NPI-1)
Name
Kristy Pustovarh
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2020
Certification date
Sep 22, 2020
Last updated
Sep 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistrp0009269WVYes

Practice location

1298 Stafford Dr
Princeton, WV 24740-2466

Phone 304-487-2445

Mailing address

1298 Stafford Dr
Princeton, WV 24740-2466

Phone 304-487-2445

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