Individual
LISA ANN POLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 RETAIL CIR, MORGANTOWN, WV 26508-1646
(304) 292-9887
(304) 292-9889
Mailing address
3001 FOX LN, MORGANTOWN, WV 26508-3635
(304) 276-1287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004987
WV
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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