Provider Demographics
NPI:1033533039
Name:WARE, JACQUELINE H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:H
Last Name:WARE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10903 NEW HAMPSHIRE AVE, WO22 RM. 4346
Mailing Address - Street 2:FOOD & DRUG ADMINISTRATION, CDER
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1058
Mailing Address - Country:US
Mailing Address - Phone:301-796-1160
Mailing Address - Fax:
Practice Address - Street 1:401 CARPENTER ROAD, BLDG 525
Practice Address - Street 2:ANDREW RADER US ARMY HEALTH CLINIC
Practice Address - City:FT MYER
Practice Address - State:VA
Practice Address - Zip Code:22211-1009
Practice Address - Country:US
Practice Address - Phone:703-696-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist