Provider Demographics
NPI:1376047100
Name:HUFF, JAMIE MICHELE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:MICHELE
Last Name:HUFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 NORTHWESTERN PIKE
Mailing Address - Street 2:
Mailing Address - City:CAPON BRIDGE
Mailing Address - State:WV
Mailing Address - Zip Code:26711-9052
Mailing Address - Country:US
Mailing Address - Phone:304-856-2901
Mailing Address - Fax:304-856-2907
Practice Address - Street 1:2830 NORTHWESTERN PIKE
Practice Address - Street 2:
Practice Address - City:CAPON BRIDGE
Practice Address - State:WV
Practice Address - Zip Code:26711-9052
Practice Address - Country:US
Practice Address - Phone:304-856-2901
Practice Address - Fax:304-856-2907
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0010213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist