Individual
MRS. JENNIFER WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
134 S QUEEN ST, MARTINSBURG, WV 25401-3316
(304) 267-8903
(304) 267-9175
Mailing address
134 S QUEEN ST, MARTINSBURG, WV 25401-3316
(304) 267-8903
(304) 267-9175
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
FP5402362
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142194000
—
WV
Enumeration date
06/24/2020
Last updated
06/24/2020
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