Individual
LORI ANN MOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9548
(304) 757-3201
(304) 757-1170
Mailing address
101 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9548
(304) 757-3201
(304) 757-1170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP5589
WV
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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