Healthcare Provider Details

I. General information

NPI: 1376047100
Provider Name (Legal Business Name): JAMIE MICHELE HUFF PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 03/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 NORTHWESTERN PIKE
CAPON BRIDGE WV
26711-9052
US

IV. Provider business mailing address

2830 NORTHWESTERN PIKE
CAPON BRIDGE WV
26711-9052
US

V. Phone/Fax

Practice location:
  • Phone: 304-856-2901
  • Fax: 304-856-2907
Mailing address:
  • Phone: 304-856-2901
  • Fax: 304-856-2907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0010213
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: