IndividualActive
Carney Broadwater, PHARMD
NPI 1003144262 · Pharmacist · Ronceverte, WV
Provider details
- NPI number
- 1003144262
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- RP0007192 (WV)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
370 Seneca Trl
Ronceverte, WV 24970-1340
Phone: (304) 645-1890
Fax: (304) 645-1891
Approximate (ZIP-level) locationGet directions
Mailing address
356 Seneca Trl
Ronceverte, WV 24970-1320
Registry dates
- Enumerated
- 2009-11-30
- Last updated
- 2009-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.