Provider Demographics
NPI:1720432628
Name:BROWNING, JODI (PHARM D)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:BROWNING
Suffix:
Gender:F
Credentials:PHARM D
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 15
Mailing Address - Street 2:
Mailing Address - City:BUD
Mailing Address - State:WV
Mailing Address - Zip Code:24716-0015
Mailing Address - Country:US
Mailing Address - Phone:304-673-9132
Mailing Address - Fax:
Practice Address - Street 1:151 N BEAVER LN
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:WV
Practice Address - Zip Code:25813-9209
Practice Address - Country:US
Practice Address - Phone:204-255-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-17
Last Update Date:2016-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist