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Jessica Booth
NPI 1679110290 · on the registry since 2019 · sole proprietor
Practice
- Address
- 300 W Main St
Bridgeport, WV 26330 - Phone
- (304) 842-3131
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Community/Retail Pharmacy
3336C0003X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia