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Organization

TUG VALLEY PHARMACY LLC

Active
Other names
tug valley pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL RANDOLPH BALLENGEE PHARMD (PRESIDENT/OWNER)
(304) 235-8080
Entity
Organization

Contact information

Practice address
54 W 2ND AVE, WILLIAMSON, WV 25661-3506
(304) 235-8080
(304) 235-1699
Mailing address
PO BOX 538, WILLIAMSON, WV 25661-0538
(304) 235-0080
(304) 235-1699

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
07/31/2007
Last updated
12/18/2007
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