Provider Demographics
NPI:1922424837
Name:BARGER, JENNIFER (PHARMD,)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BARGER
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 1:118 VENTURA DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-1380
Mailing Address - Country:US
Mailing Address - Phone:304-672-2363
Mailing Address - Fax:
Practice Address - Street 1:102 EMILY DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-5501
Practice Address - Country:US
Practice Address - Phone:304-623-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-16
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008082183500000X
PARP448058183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist