NPI 1407851769

Judys Drug Store INC

Organisation Nutrition Education Nutritionist Petersburg, WV

Practice location

Address: 24 N Main St, Petersburg, WV 26847-1518
Phone: (304) 257-1044
Fax: (304) 257-2681

Authorised official

Name: Darin C Judy
Title: Vice President
Phone: (304) 257-1044

Registered specialties (3)

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 30 (WV)

Other Nutritionist providers in West Virginia →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence 51D1024349 (WV)

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Registry record

NPI: 1407851769
Entity type: Organization
NPI issued: 14 Jun 2005
Record last updated: 24 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.