Provider Demographics
NPI:1376143768
Name:OSBORNE, JENNIFER POPE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:POPE
Last Name:OSBORNE
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 1:7430 BELL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3550
Mailing Address - Country:US
Mailing Address - Phone:804-730-8882
Mailing Address - Fax:804-730-8884
Practice Address - Street 1:7430 BELL CREEK RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3550
Practice Address - Country:US
Practice Address - Phone:804-730-8882
Practice Address - Fax:804-730-8884
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist