Individual
MRS. LISA MACHELLE VELEGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 27TH ST, WELLSBURG, WV 26070-1161
(304) 243-6230
(304) 243-6232
Mailing address
91 27TH ST, WELLSBURG, WV 26070-1161
(304) 243-6230
(304) 243-6232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004642
WV
Other
Enumeration date
04/30/2016
Last updated
04/30/2016
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