Provider Demographics
NPI:1245547561
Name:LEMLEY, TODD WILLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:WILLIAM
Last Name:LEMLEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 OLD HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-1717
Mailing Address - Country:US
Mailing Address - Phone:304-216-3047
Mailing Address - Fax:
Practice Address - Street 1:47 OLD HOUSE LN
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-1717
Practice Address - Country:US
Practice Address - Phone:304-216-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist