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Judys Drug Store Inc
Clinical Medical Laboratory in Petersburg, West Virginia
NPI 1407851769

Judys Drug Store Inc is a Clinical Medical Laboratory based in Petersburg, WV. Judys Drug Store Inc practices in Petersburg, WV. The NPI Number for Judys Drug Store Inc is 1407851769 and holds a License No. 30 (West Virginia).

The current practice location address for Judys Drug Store Inc is 24 N Main St, Petersburg, WV and can be reached out via phone at 304-257-1044 and via fax at 304-257-2681.

Location: 24 N Main St, Petersburg, WV, 26847-1518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407851769
Provider Name
Judys Drug Store Inc
Credential
Provider Entity Type
Organization
Address
24 N Main St, Petersburg, WV, 26847-1518
Phone Number
304-257-1044
Fax Number
304-257-2681
Provider Enumeration Date
06/14/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0141999000 05 WV
institution
Provider Business Practice Location Address Details
Address
24 N Main St
City
Petersburg
State
West Virginia
Zip
26847-1518
Phone Number
304-257-1044
Fax Number
304-257-2681
person
Provider Business Mailing Address Details
Address
24 N Main St
City
Petersburg
State
West Virginia
Zip
26847-1518
Phone Number
304-257-1044
Fax Number
304-257-2681
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
51D1024349 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
30 (West Virginia)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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