Organization
JUDYS DRUG STORE INC
Active
Other names
JUDYS DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JUDY PHARMD (PRESIDENT)
(304) 257-1044
Entity
Organization
Contact information
Practice address
24 N MAIN ST, PETERSBURG, WV 26847-1518
(304) 257-1044
(304) 257-2681
Mailing address
24 N MAIN ST, PETERSBURG, WV 26847-1518
(304) 257-1044
(304) 257-2681
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550070
WV
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141999000
—
WV
01
—
2109313
PK
—
Enumeration date
06/13/2005
Last updated
02/15/2017
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