Individual
GEORGIANA LANE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651
(304) 872-8437
(304) 872-8602
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8437
(304) 872-8602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006639
WV
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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