Individual
KIMBERLY LIEBAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2900 PIKE ST, PARKERSBURG, WV 26101-8694
(304) 489-3268
Mailing address
2900 PIKE ST, PARKERSBURG, WV 26101-8694
(304) 489-3268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5011
WV
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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