Basic Information
| Provider Information | |||||||||
| NPI: | 1245818855 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COVEY | ||||||||
| FirstName: | LORA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4841 COVEY CAMPGROUND RD | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240845752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403201803 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 700 UNIVERSITY CITY BLVD | ||||||||
| Address2: | |||||||||
| City: | BLACKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240602706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5402329022 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2021 | ||||||||
| LastUpdateDate: | 04/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 0202011223 | VA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.