Individual
LEA ANN PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
902 N LEWIS ST, GLENVILLE, WV 26351-1323
(304) 462-4438
(304) 462-7624
Mailing address
407 SPRUCE RUN RD, GLENVILLE, WV 26351-8145
(304) 462-8950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6143
WV
Other
Enumeration date
03/02/2011
Last updated
02/11/2021
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