# VILLAGE LONG TERM PHARMACY LLC

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

## Provider details

- **NPI number:** 1639553464
- **Authorized official:** PATSY V LONGHI (OWNER)
- **Authorized official phone:** (304) 723-2528

## Contact information

- **Practice address:** 204 THREE SPRINGS DR, SUITE B, WEIRTON, WV 26062-3815
- **Practice address phone:** (304) 723-2528
- **Practice address fax:** (304) 723-2540
- **Mailing address:** 204 THREE SPRINGS DR, SUITE B, WEIRTON, WV 26062-3815
- **Mailing address phone:** (304) 723-2528
- **Mailing address fax:** (855) 933-2703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | OP0552220 | WV | Yes |

## Other

- **Enumeration date:** 07/10/2015
- **Last updated:** 10/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0145692 | — | OH |
| 01 | — | 2153229 | PK | — |
| 05 | — | 3910007162 | — | WV |