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Contact Information

J & B DRUG STORE, INC.
352 MAIN STREET
GRANTSVILLE, WV26147
 Phone: 304-354-7737
 Fax: 304-354-7807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for J & B DRUG STORE, INC.

NPI # 1902803141
LBN Legal business name J & B DRUG STORE, INC.
Authorized official LEISA JARVIS-STOVER - (MANAGER AND CO OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2005
Last updated 10/20/2014 - About 12 years ago
Identifiers
WV License # SP0550136
WV Medicaid 0142545000
Other 2109383 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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