Individual
MRS. PENNY SUE LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
ROUTE 1 BOX 1005, TOLLESBORO, KY 41189
(606) 798-2072
(606) 798-2222
Mailing address
HC 73 BOX 1002, VANCEBURG, KY 41179-9408
(606) 796-0009
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
011827
KY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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