Healthcare Provider Details

I. General information

NPI: 1740638659
Provider Name (Legal Business Name): JESSICA ERIN TORRES PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ROOSEVELT BLVD
ELEANOR WV
25070
US

IV. Provider business mailing address

501 ROOSEVELT BLVD
ELEANOR WV
25070
US

V. Phone/Fax

Practice location:
  • Phone: 304-586-0886
  • Fax: 304-586-1057
Mailing address:
  • Phone: 304-586-0886
  • Fax: 304-586-1057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0008222
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: