Organization
JUDYS DRUG STORE INC
Active
Other names
JUDYS HEALTH EDUCATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN C JUDY (VICE 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
133NN1002X
Nutrition Education Nutritionist
Primary
30
WV
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
51D1024349
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141999000
—
WV
Enumeration date
06/14/2005
Last updated
04/24/2012
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