Healthcare Provider Details

I. General information

NPI: 1407074768
Provider Name (Legal Business Name): BARBARA JEAN GEARY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17978 SR 55
BAKER WV
26801
US

IV. Provider business mailing address

16 VANMETER DRIVE
PETERSBURG WV
26847
US

V. Phone/Fax

Practice location:
  • Phone: 304-897-8220
  • Fax:
Mailing address:
  • Phone: 304-257-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4109
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14502
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: