Provider Demographics
NPI:1316018195
Name:CUMBERLAND HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CUMBERLAND HEALTH SERVICES, INC.
Other - Org Name:IAEGER PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM, D
Authorized Official - Phone:304-938-2819
Mailing Address - Street 1:PO BOX 418
Mailing Address - Street 2:
Mailing Address - City:IAEGER
Mailing Address - State:WV
Mailing Address - Zip Code:24844-0418
Mailing Address - Country:US
Mailing Address - Phone:304-938-2819
Mailing Address - Fax:304-938-5501
Practice Address - Street 1:4381 COAL HERITAGE RD
Practice Address - Street 2:
Practice Address - City:IAEGER
Practice Address - State:WV
Practice Address - Zip Code:24844-0418
Practice Address - Country:US
Practice Address - Phone:304-938-2819
Practice Address - Fax:304-938-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP05507073336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy