Individual
DR. AUSTIN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D. RPH.
Contact information
Practice address
308 BELLEPOINT PLAZA STOKES DRIVE, HINTON, WV 25951-1111
(304) 466-6615
(304) 466-6618
Mailing address
ST RT 107 BELLEPOINT, HINTON, WV 25951
(304) 646-9846
(304) 466-6618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006562
WV
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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