Individual
JULISSA MEZA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 W WASHINGTON ST, CHARLES TOWN, WV 25414-1534
(304) 728-7418
Mailing address
328 W WASHINGTON ST, CHARLES TOWN, WV 25414-1534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013846
WV
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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