Individual
JENNY NATASHA JOHANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
505 RANDOLPH AVE, ELKINS, WV 26241-3948
(304) 636-5696
Mailing address
505 RANDOLPH AVE, ELKINS, WV 26241-3948
(304) 636-5696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007014
WV
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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