Individual
MICHAEL DANIEL JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10295 ROUTE 152, WAYNE, WV 25570-5810
(304) 272-6767
Mailing address
10295 ROUTE 152, WAYNE, WV 25570-5810
(304) 272-6767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013761
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2019
Last updated
08/11/2023
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