Individual
LISA NORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 SHIVEL LN, HUNTINGTON, WV 25705-3842
(304) 697-7527
Mailing address
739 SHIVEL LN, HUNTINGTON, WV 25705-3842
(304) 697-7527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004326
WV
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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