Individual
JOHUA LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2830 NORTHWESTERN PIKE, CAPON BRIDGE, WV 26711-9052
(304) 856-2901
Mailing address
201 FARLEY CIR APT 109, WINCHESTER, VA 22601-6245
(315) 576-7857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011893
WV
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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