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Organization
VILLAGE LONG TERM PHARMACY LLC
Active
Organization
VILLAGE LONG TERM PHARMACY LLC
Active
Other names
Village Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY V LONGHI (OWNER)
(304) 723-2528
Entity
Organization
Contact information
Practice address
204 THREE SPRINGS DR, SUITE B, WEIRTON, WV 26062-3815
(304) 723-2528
(304) 723-2540
Mailing address
204 THREE SPRINGS DR, SUITE B, WEIRTON, WV 26062-3815
(304) 723-2528
(855) 933-2703
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
OP0552220
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145692
—
OH
01
—
2153229
PK
—
05
—
3910007162
—
WV
Enumeration date
07/10/2015
Last updated
10/20/2022
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