Individual
KENNETH LEE FEARS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1020 BILL TUCK HWY STE 1000, SOUTH BOSTON, VA 24592-7159
(434) 575-0078
(434) 575-0252
Mailing address
1020 BILL TUCK HWY STE 1000, SOUTH BOSTON, VA 24592-7159
(434) 575-0078
(434) 575-0252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211042
VA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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