Provider Demographics
NPI:1538310636
Name:MCGRAW, RHONDA JO (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:JO
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 NEW HOPE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2265
Mailing Address - Country:US
Mailing Address - Phone:304-425-9591
Mailing Address - Fax:304-425-5609
Practice Address - Street 1:508 NEW HOPE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2265
Practice Address - Country:US
Practice Address - Phone:304-425-9591
Practice Address - Fax:304-425-5609
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist