Individual
LAMIA MITIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 BRIDGE RD, CHARLESTON, WV 25314-1305
(304) 344-2030
Mailing address
1015 BRIDGE RD, CHARLESTON, WV 25314-1305
(304) 344-2030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009254
WV
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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