# JUDYS DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JUDYS DRUG STORE INC
- **Other names:** JUDYS DRUG STORE LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487351714
- **Legal business name:** JUDYS DRUG STORE INC
- **Authorized official:** DARIN JUDY (VP)
- **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) 257-2857
- **Mailing address:** 24 N MAIN ST, PETERSBURG, WV 26847-1518
- **Mailing address phone:** (304) 257-1044
- **Mailing address fax:** (304) 257-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SP0550070 | WV BOARD OF PHARMACY | WV |