Individual
MR. JARVIS MARK REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
43 N MAIN ST, KEYSER, WV 26726-3220
(304) 788-1643
(304) 788-0525
Mailing address
43 N MAIN ST, KEYSER, WV 26726-3220
(304) 788-1643
(304) 788-0525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004356
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139139000
—
WV
05
—
47991270
—
MD
Enumeration date
07/25/2006
Last updated
07/08/2007
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