Individual
LISA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4148
Mailing address
55 CLEAR SPRING DR, MORGANTOWN, WV 26508-3202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006870
WV
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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