Provider Demographics
NPI:1609242403
Name:SCHREIBER, JOLINDA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOLINDA
Middle Name:
Last Name:SCHREIBER
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 1:822 SHAFFER LN
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-2924
Mailing Address - Country:US
Mailing Address - Phone:843-412-9433
Mailing Address - Fax:
Practice Address - Street 1:13150 VETERANS MEM HWY
Practice Address - Street 2:
Practice Address - City:REEDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26547-4000
Practice Address - Country:US
Practice Address - Phone:304-864-6935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-15
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009610183500000X
SC36250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist