Organization
JARRELLS PHARMACY INC
Active
Other names
JARRELLS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JARRELL PHRM (OWNER)
(304) 763-2442
Entity
Organization
Contact information
Practice address
2122 RITTER DRIVE, DANIELS, WV 25832
(304) 763-2442
(304) 763-4230
Mailing address
PO BOX 2027, SHADY SPRING, WV 25918-2027
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550086
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139196000
—
WV
01
—
5008455
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/13/2006
Last updated
02/26/2009
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