Individual
CASSANDRA B FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-8472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005454
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDE
2001-0162
—
01
—
RP0005454
PHARMACIST LICENSE
WV
Enumeration date
07/18/2005
Last updated
11/07/2023
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