Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaime Dale Colombo

Individual provider Pharmacist · NPI 1306440102

Jaime Dale Colombo is a Pharmacist in Vienna, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2020
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Practice location Address checks out

701 Grand Central Ave
Vienna, WV 26105-2143
Phone: (304) 422-3526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP0006619 (WV)

Record details

NPI number1306440102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address701 Grand Central Ave, Vienna, WV 26105-2143

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