Individual
MRS. BRE ANN LASSETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
106 21ST ST, NITRO, WV 25143-1740
(304) 755-9015
(304) 755-9020
Mailing address
106 21ST ST, NITRO, WV 25143-1740
(304) 755-9015
(304) 755-9020
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT0005522
WV
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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