Organization
JCL MANAGEMENT AND CONSULTING LLC
Active
Other names
Tug valley pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LEE (OWNER)
(606) 316-4011
Entity
Organization
Contact information
Practice address
54 W 2ND AVE, WILLIAMSON, WV 25661-3506
(304) 235-8080
Mailing address
109 EASTRIDGE DR, WINCHESTER, KY 40391-7116
(606) 316-4011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552503
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0552503
WV STATE LISENCE
WV
Enumeration date
05/04/2016
Last updated
05/04/2016
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