Tug Valley Pharmacy LLC
NPI #1336339704 in Williamson, West Virginia
Provider Information
- NPI Number
- 1336339704
- Entity Type
- Organization
- Organization Name
- Tug Valley Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 31, 2007
- Last Updated
- Dec 18, 2007
Practice Location
- Address
- 54 W 2ND AVE
- City
- Williamson
- State
- West Virginia
- ZIP Code
- 25661-3506
- Phone
- (304) 235-8080
Authorized Official
- Name
- SAMUEL RANDOLPH BALLENGEE, PHARMD
- Title
- PRESIDENT/OWNER
- Phone
- (304) 235-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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