Judy, Emily C

Judy, Emily C is an individual health care provider with primary practice located at 24 N Main St , Petersburg WV 26847-1518. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Judy, Emily C can be contacted via phone (304) 257-1044.

Contact Information

Primary practice address
24 N Main St Petersburg WV 26847-1518
Fax: (304) 257-2681
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6565 West Virginia

Profile Details

NPI number 1669476040
LBN Legal business name Judy, Emily C
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669476040 NPPES
West Virginia Other 6565 LICENSE NUMBER

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