Individual
JEANETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PHARMACY
Contact information
Practice address
1220 N EISENHOWER DR, BECKLEY, WV 25801-3120
(304) 252-1265
(304) 252-5093
Mailing address
1220 N EISENHOWER DR, BECKLEY, WV 25801-3120
(304) 252-1265
(304) 252-5093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3991
WV
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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