# JUDYS DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JUDYS HEALTH EDUCATION SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407851769
- **Authorized official:** DARIN C JUDY (VICE PRESIDENT)
- **Authorized official phone:** (304) 257-1044

## Contact information

- **Practice address:** 24 N MAIN ST, PETERSBURG, WV 26847-1518
- **Practice address phone:** (304) 257-1044
- **Practice address fax:** (304) 257-2681
- **Mailing address:** 24 N MAIN ST, PETERSBURG, WV 26847-1518
- **Mailing address phone:** (304) 257-1044
- **Mailing address fax:** (304) 257-2681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | 30 | WV | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | 51D1024349 | WV | — |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 04/24/2012