Individual
LISA MARIE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 COMMONWEALTH BLVD W, MARTINSVILLE, VA 24112-1800
(276) 666-3014
Mailing address
1507 COUNTY LINE RD, BASSETT, VA 24055-5140
(317) 407-4901
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0202216180
VA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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