Individual provider · Type 1 NPI

Carney Jerrod Broadwater, PharmD

Pharmacist · Ronceverte, WV

NPI number 1003144262 Active

Practice location

370 Seneca Trl
Ronceverte, WV 24970-1340

Call (304) 645-1890 Map

Fax (304) 645-1891

Mailing address

356 Seneca Trl
Ronceverte, WV 24970-1320

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP0007192 (WV)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003144262

Carney Jerrod Broadwater, PharmD's National Provider Identifier is 1003144262, issued on Nov 30, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ronceverte, WV. The record was last updated on Nov 30, 2009.