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Individual

DR. CHEDAE JASMINE BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
3400 DUDLEY AVE, PARKERSBURG, WV 26104-1810
(304) 428-0946
Mailing address
126 VALLEY DR, RIPLEY, WV 25271-1638

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011771
WV

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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