# CLAYSVILLE PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLAYSVILLE PHARMACY, LLC
- **Other names:** Curtis Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558986687
- **Legal business name:** CLAYSVILLE PHARMACY, LLC
- **Authorized official:** MIAH GRAY (BUSINESS OFFICE)
- **Authorized official phone:** (724) 633-7707

## Contact information

- **Practice address:** 305 MAIN ST, CLAYSVILLE, PA 15323-3300
- **Practice address phone:** (724) 663-7707
- **Practice address fax:** (724) 663-5994
- **Mailing address:** 305 MAIN ST BOX K, CLAYSVILLE, PA 15323-3300
- **Mailing address phone:** (724) 663-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 07/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1016973030001 | — | PA |