Jessica D Booth
NPI #1679110290 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1679110290
- Entity Type
- Individual
- Name
- Jessica D Booth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 2, 2019
- Last Updated
- Dec 2, 2019
Practice Location
- Address
- 300 W MAIN ST
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-1751
- Phone
- (304) 842-3131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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