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Individual

MS. JEANIE LEA LOCKHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
14558 DANVILLE PIKE, LAUREL FORK, VA 24352-3982
(276) 398-2292
(276) 398-3331
Mailing address
224 WYE RD, WYTHEVILLE, VA 24382-9508
(276) 613-6119

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204398
VA

Other

Enumeration date
01/11/2013
Last updated
01/21/2021
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