Provider Demographics
NPI:1225470800
Name:MCENDREE, PAMELA SUZANNE (RPH)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:SUZANNE
Last Name:MCENDREE
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 1:356 HEMLOCK LN
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5560
Mailing Address - Country:US
Mailing Address - Phone:304-919-9251
Mailing Address - Fax:
Practice Address - Street 1:231 BLUEBELL DR NW
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663
Practice Address - Country:US
Practice Address - Phone:330-339-6163
Practice Address - Fax:330-339-3410
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist