Provider Demographics
NPI:1861839813
Name:ACJJ INVESTMENTS LLC
Entity Type:Organization
Organization Name:ACJJ INVESTMENTS LLC
Other - Org Name:VALUE LEADER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNABEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-314-5321
Mailing Address - Street 1:FOLLANSBEE PHARMACY
Mailing Address - Street 2:1415 MAIN STREET
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037
Mailing Address - Country:US
Mailing Address - Phone:740-314-5321
Mailing Address - Fax:740-314-8064
Practice Address - Street 1:200 LURAY DR STE B
Practice Address - Street 2:
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3973
Practice Address - Country:US
Practice Address - Phone:740-314-5321
Practice Address - Fax:740-314-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
OH0223146003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2139832OtherPK
OH6919360001Medicare NSC