Individual provider · Type 1 NPI

Jaime Dale Colombo

Pharmacist · Vienna, WV

NPI number 1306440102 Active

Practice location

701 Grand Central Ave
Vienna, WV 26105-2143

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP0006619 (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 1306440102

Jaime Dale Colombo's National Provider Identifier is 1306440102, issued on Nov 23, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Vienna, WV. The record was last updated on Nov 23, 2020.