Powell, Jeannine H

Powell, Jeannine H is an individual health care provider with primary practice located at 1048 White Ave , Morgantown WV 26501-6268. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Powell, Jeannine H can be contacted via phone (304) 216-6772.

Contact Information

Primary practice address
1048 White Ave Morgantown WV 26501-6268
Phone: (304) 216-6772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X RP0005626 West Virginia
Pharmacy Service Providers / Pharmacist 183500000X RP0005626 West Virginia

Profile Details

NPI number 1629143797
LBN Legal business name Powell, Jeannine H
Credentials PHD, CGP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jan 29th, 2020 - about 4 years ago

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 1629143797 NPPES
West Virginia Other RP0005626 WV BOARD OF PHARMACY

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