Provider Demographics
NPI:1225175102
Name:DOSS, TERRI D (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:D
Last Name:DOSS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:MALLORY
Mailing Address - State:WV
Mailing Address - Zip Code:25634-0321
Mailing Address - Country:US
Mailing Address - Phone:304-583-9980
Mailing Address - Fax:304-583-7902
Practice Address - Street 1:601 E MCDONALD AVE
Practice Address - Street 2:PRESCRIPTION CENTER
Practice Address - City:MAN
Practice Address - State:WV
Practice Address - Zip Code:25635-1022
Practice Address - Country:US
Practice Address - Phone:304-583-7900
Practice Address - Fax:304-583-7902
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0005317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist