Provider Demographics
NPI:1942657465
Name:DEEL, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:DEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:WV
Mailing Address - Zip Code:25276-1316
Mailing Address - Country:US
Mailing Address - Phone:304-927-0011
Mailing Address - Fax:304-891-2027
Practice Address - Street 1:218 MARKET ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:WV
Practice Address - Zip Code:25276-1316
Practice Address - Country:US
Practice Address - Phone:304-927-0011
Practice Address - Fax:304-891-2027
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVTT0011029183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician