J W Pharmacy

NPI #1417067729 in Benton, Kentucky

Provider Information

NPI Number
1417067729
Entity Type
Organization
Organization Name
J W Pharmacy
Primary Specialty
Pharmacy
Enumeration Date
Aug 30, 2006
Last Updated
Oct 11, 2016

Practice Location

Address
817 MAIN ST
City
Benton
ZIP Code
42025-1240
Phone
(270) 527-9374

Authorized Official

Name
JAMES H WISEMAN
Title
OWNER PRES
Phone
(270) 527-9374

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility
Nursing Facility/Intermediate Care Facility
Pharmacy

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