Organization
JANE LEW PHARMACY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW A GENIN (VICE PRESIDENT)
(304) 884-7100
Entity
Organization
Contact information
Practice address
134 INDUSTRIAL PARK RD, SUITE 100, JANE LEW, WV 26378-9785
(304) 884-7100
(304) 884-7123
Mailing address
134 INDUSTRIAL PARK RD, SUITE 100, JANE LEW, WV 26378-9785
(304) 884-7100
(304) 884-7123
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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