Organization
JW PHARMACY INC
Active
Other names
J&R Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BROWN (PRESIDENT)
(270) 410-1124
Entity
Organization
Contact information
Practice address
817 MAIN ST, BENTON, KY 42025-1240
(270) 527-9374
(270) 527-3152
Mailing address
817 MAIN ST, BENTON, KY 42025-1240
(270) 527-9374
(270) 527-3152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P00663
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168046
PK
—
Enumeration date
03/06/2017
Last updated
01/28/2025
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