Organization
JTW PHARMACY INC
Active
Other names
Wonder Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TILLEY WITT RPH (OWNER)
(540) 890-3027
Entity
Organization
Contact information
Practice address
15818 STEWARTSVILLE RD, VINTON, VA 24179
(540) 890-3027
(540) 890-5394
Mailing address
15818 STEWARTSVILLE RD, VINTON, VA 24179
(540) 890-3027
(540) 890-5394
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201001662
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008512191
—
VA
01
—
4815392
NABP
VA
Enumeration date
08/05/2006
Last updated
08/17/2020
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