JEBS INC
4375 Brambleton Ave
Roanoke, VA 24018
540-772-0605
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | VA | 0201003350 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA # | BM5083023 | VA | OTHER |
NCPDP # | 4829909 | VA | OTHER |
8508399 | VA | MEDICAID |