Individual
DR. ELIZABETH KELLI BOVENIZER LOUTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3032 E CUMBERLAND RD, BLUEFIELD, WV 24701-4858
(304) 327-0823
Mailing address
662 TANAGER DR, BLUEFIELD, VA 24605-9422
(540) 320-6067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007134
WV
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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