Sharon Marie Liesen

NPI #1205437563 in Ashland, Virginia

Provider Information

NPI Number: 1205437563
Entity Type: Individual
Name: Sharon Marie Liesen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 145 HILL CARTER PKWY
City: Ashland
State: Virginia
ZIP Code: 23005-2327
Phone: (804) 798-3112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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