Provider Demographics
NPI:1497162606
Name:GEARY, JESSICA ELAINE-ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELAINE-ELIZABETH
Last Name:GEARY
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:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:CRABTREE
Mailing Address - State:PA
Mailing Address - Zip Code:15624-0303
Mailing Address - Country:US
Mailing Address - Phone:724-552-8605
Mailing Address - Fax:
Practice Address - Street 1:621 CLAY AVE
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3409
Practice Address - Country:US
Practice Address - Phone:724-527-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-20
Last Update Date:2014-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist