Ford, Cassandra B

Ford, Cassandra B is an individual health care provider with primary practice located at 111 S Grove St Ste 1 , Petersburg WV 26847-1805. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ford, Cassandra B can be contacted via phone (304) 257-2451.

Contact Information

Primary practice address
111 S Grove St Ste 1 Petersburg WV 26847-1805
Phone: (304) 257-2451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP0005454 West Virginia

Profile Details

NPI number 1063411593
LBN Legal business name Ford, Cassandra B
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063411593 NPPES
West Virginia Other RP0005454 PHARMACIST LICENSE
West Virginia Other CDE PHARMACIST LICENSE

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