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Organization
NEIDIG PHARMACY GROUP LLC
Active
Organization
NEIDIG PHARMACY GROUP LLC
Active
Other names
Medi-Wise Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN NEIDIG BSPH (PRESIDENT/CEO)
(330) 827-8125
Entity
Organization
Contact information
Practice address
130 1/2 W HIGH AVE, NEW PHILADELPHIA, OH 44663-3802
(330) 365-1526
(330) 365-1513
Mailing address
PO BOX 190, NEW PHILADELPHIA, OH 44663-0190
(740) 492-0191
(740) 492-0275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
022283800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143749
PK
—
Enumeration date
12/14/2005
Last updated
03/09/2017
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