Doctor Name: | MRS. BRE ANN LASSETER |
NPI Number: | 1487000147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | PT0005522 |
Business Practice Address: | 106 21st St Nitro, WV - 251431740 |
Business Phone Number: | 3047559015 |
Business Fax Number: | 3047559020 |
Mailing Address: | 106 21st St, NITRO |
State: | WV |
Postal Code: | 251431740 |
Phone Number: | 3047559015 |
Fax Number: | 3047559020 |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | PT0005522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |