Provider Demographics
NPI:1467731711
Name:HUFFMAN, DEBORAH A (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:HUFFMAN
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 1:175 WINDING SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-4021
Mailing Address - Country:US
Mailing Address - Phone:304-864-3393
Mailing Address - Fax:304-842-0658
Practice Address - Street 1:1240 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-1657
Practice Address - Country:US
Practice Address - Phone:304-842-0647
Practice Address - Fax:304-842-0658
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV6758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist