Healthcare Provider Details

I. General information

NPI: 1356262059
Provider Name (Legal Business Name): GABRIELLE PERRY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PARKWAY AVE
BLUEFIELD WV
24701-4249
US

IV. Provider business mailing address

600 PARKWAY AVE
BLUEFIELD WV
24701-4249
US

V. Phone/Fax

Practice location:
  • Phone: 276-596-4572
  • Fax:
Mailing address:
  • Phone: 276-596-4572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202220757
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: