# 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:** 1659356509
- **Authorized official:** KEVIN NEIDIG BSPH (PRESIDENT/CEO)
- **Authorized official phone:** (330) 827-8125

## Contact information

- **Practice address:** 130 1/2 W HIGH AVE, NEW PHILADELPHIA, OH 44663-3802
- **Practice address phone:** (330) 365-1526
- **Practice address fax:** (330) 365-1513
- **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 |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 022283800 | OH | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 03/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2143749 | PK | — |