Individual
MS. LISA D MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
203 N MAIN ST, FRANKLIN, WV 26807
(304) 358-2887
(304) 358-3149
Mailing address
203 N MAIN ST, FRANKLIN, WV 26807
(304) 358-2887
(304) 358-3149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4387
WV
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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