NPI 1003119371

Kenneth B Berdine, RPH

Practitioner Pharmacist Charleston, WV

Practice location

Address: 5717 Maccorkle Ave SE, Charleston, WV 25304-2803
Phone: (304) 925-8400
Fax: (304) 925-8433

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 4568 (WV)

Other Pharmacist providers in West Virginia →

Registry record

NPI: 1003119371
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2010
Record last updated: 8 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.