| NPI | 1336339704 |
|---|---|
| Doing Business As | TUG VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL RANDOLPH BALLENGEE President/Owner 304-235-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-12-18 |