Organization
JUDYS DRUG STORE INC
Active
Parent organization
JUDYS DRUG STORE INC
Other names
JUDYS DRUG STORE LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUDYS DRUG STORE INC
Authorized official
DARIN JUDY (VP)
(304) 257-1044
Entity
Organization
Contact information
Practice address
24 N MAIN ST, PETERSBURG, WV 26847-1518
(304) 257-1044
(304) 257-2857
Mailing address
24 N MAIN ST, PETERSBURG, WV 26847-1518
(304) 257-1044
(304) 257-2857
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0550070
WV BOARD OF PHARMACY
WV
Enumeration date
02/07/2023
Last updated
03/07/2023
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