Individual
AMY LIPOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
219 1ST ST, SHINNSTON, WV 26431-1001
(336) 738-3312
Mailing address
219 1ST ST, SHINNSTON, WV 26431-1001
(336) 738-3312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006652
WV
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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