Individual
MRS. JENNIFER MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200 RALEIGH AVE, BECKLEY, WV 25801-0002
(304) 461-1200
(304) 461-1201
Mailing address
200 RALEIGH AVE, BECKLEY, WV 25801-0002
(304) 461-1200
(304) 461-1201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0005924
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5000310
NABP
WV
Enumeration date
11/07/2006
Last updated
04/12/2019
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