Judys Drug Store Inc

LBN: Judys Drug Store Inc
Judys Drug Store Inc is an health care organization with primary practice located at 24 N Main St , Petersburg WV 26847-1518. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Judys Drug Store Inc can be contacted via phone (304) 257-1044, or through Judy, Emily via phone (304) 257-1044.

Contact Information

Primary practice address
24 N Main St Petersburg WV 26847-1518
Phone: (304) 257-1044
Fax: (304) 257-2681
Website:
Map and Directions
Authorized official contact:
Name: Judy, Emily PHARMD
Phone: (304) 257-1044

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550070 West Virginia
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1295739654
LBN Legal business name Judys Drug Store Inc
DBA Doing business as Judys Drug Store Inc
Authorized official Judy, Emily PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 15th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295739654 NPPES
West Virginia MEDICAID 0141999000
West Virginia Other 2109313

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