Provider Demographics
NPI:1417347386
Name:BOOK, JAMIE ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:BOOK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:ELIZABETH
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:191 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-4750
Mailing Address - Country:US
Mailing Address - Phone:540-545-4961
Mailing Address - Fax:540-545-4973
Practice Address - Street 1:191 MARKET ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-4750
Practice Address - Country:US
Practice Address - Phone:540-545-4961
Practice Address - Fax:540-545-4973
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230019990183700000X
VAS7Y6C2F4183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician