DR. Carney Jerrod Broadwater, PHARMD

NPI #1003144262 in Ronceverte, West Virginia

Provider Information

NPI Number: 1003144262
Entity Type: Individual
Name: DR. Carney Jerrod Broadwater, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 30, 2009
Last Updated: Nov 30, 2009

Practice Location

Address: 370 SENECA TRL
City: Ronceverte
State: West Virginia
ZIP Code: 24970-1340
Phone: (304) 645-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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