Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA D BOOTH
Active Sole ProprietorJESSICA D BOOTH is a Long-Term Care Pharmacy healthcare provider located in BRIDGEPORT, West Virginia. NPI 1679110290 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1679110290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2019 (6.714270725006 yrs)
- Last Updated
- Dec 2, 2019
- License
-
RP0011851 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 W MAIN STBRIDGEPORT, WV, 263301751Browse WV providers · Browse ZIP 26330
- Phone
- 3048423131
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.