Jane Lew Pharmacy, LLC.
Pharmacy, Community/Retail Pharmacy in Jane Lew, WV. Organization (NPI-2).
NPI number1295078624
StatusActive
Last updated in NPPESApr 4, 2013
Details
- NPI
- 1295078624
- Entity type
- Organization (NPI-2)
- Legal business name
- Jane Lew Pharmacy, LLC.
- Organization subpart
- No
- Enumeration date
- Apr 4, 2013
- Last updated
- Apr 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
134 Industrial Park RdSuite 100
Jane Lew, WV 26378-9785
Phone 304-884-7100 · Fax 304-884-7123
Mailing address
134 Industrial Park RdSuite 100
Jane Lew, WV 26378-9785
Phone 304-884-7100 · Fax 304-884-7123
Authorized official
Matthew A Genin
Vice President
3048847100
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