Individual
LISA C WHETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
375 S MAIN ST, TIMBERVILLE, VA 22853-9522
(540) 896-0463
Mailing address
2479 CALDWELL HOLLOW RD, BAKER, WV 26801-8384
(304) 668-5775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011904
VA
Other
Enumeration date
10/30/2020
Last updated
11/01/2020
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