Kenneth Lee Fears, PHARMD Valid NPI
Individual provider · Pharmacist · South Boston, VA
- NPI
- 1205422748
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 0202211042 (VA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-12-18
- Last updated
- 2020-12-18
Practice location
1020 Bill Tuck Hwy Ste 1000
South Boston, VA 24592-7159
(434) 575-0078