Individual
LISA KATE HOSTUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1851 EARL L. CORE RD, MORGANTOWN, WV 26505
(304) 296-0657
(304) 296-8161
Mailing address
805 DES MOINES AVE, MORGANTOWN, WV 26505-5275
(304) 216-2965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0010567
WV
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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