Provider Demographics
NPI:1275368615
Name:JAMESTOWN VALU-RITE PHARMACY INC
Entity type:Organization
Organization Name:JAMESTOWN VALU-RITE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-343-4444
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42629-0499
Mailing Address - Country:US
Mailing Address - Phone:270-343-4443
Mailing Address - Fax:800-541-3781
Practice Address - Street 1:141 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:JAMESTOWN,KY
Practice Address - State:KY
Practice Address - Zip Code:42629
Practice Address - Country:US
Practice Address - Phone:270-343-4443
Practice Address - Fax:800-541-3781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy