<Unavail>

LBN: Judys Drug Store Inc
<Unavail> 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 Dietary & Nutritional Service Providers / Nutrition, Education, Ambulatory Health Care Facilities / Clinic/Center, Laboratories / Clinical Medical Laboratory. Dietary & Nutritional Service Providers / Nutrition, Education is the primary health care specialty. Judys Drug Store Inc can be contacted via phone (304) 257-1044, or through Judy, Darin C 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, Darin C
Phone: (304) 257-1044

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 30 West Virginia
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Laboratories / Clinical Medical Laboratory 291U00000X 51D1024349 West Virginia

Profile Details

NPI number 1407851769
LBN Legal business name Judys Drug Store Inc
DBA Doing business as <Unavail>
Authorized official Judy, Darin C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 24th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407851769 NPPES
West Virginia MEDICAID 0141999000

Popular Providers