Provider Demographics
NPI:1376144410
Name:LAMBERT, ANN M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 PIKE ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-8694
Mailing Address - Country:US
Mailing Address - Phone:304-489-3268
Mailing Address - Fax:304-489-3017
Practice Address - Street 1:2900 PIKE ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-8694
Practice Address - Country:US
Practice Address - Phone:304-489-3268
Practice Address - Fax:304-489-3017
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist