# NEIDIG PHARMACY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi-Wise Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134568504
- **Authorized official:** MR. KEVIN H NEIDIG RPH (PRESIDENT/CEO)
- **Authorized official phone:** (740) 492-0191

## Contact information

- **Practice address:** 415 S RIVER ST, NEWCOMERSTOWN, OH 43832-1443
- **Practice address phone:** (740) 492-0191
- **Practice address fax:** (740) 492-0275
- **Mailing address:** PO BOX 190, NEW PHILADELPHIA, OH 44663-0190
- **Mailing address phone:** (740) 492-0191
- **Mailing address fax:** (740) 492-0275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 022283800 | OH | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 05/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0087538 | — | OH |