# SHENANDOAH PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659762466
- **Legal business name:** SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
- **Authorized official:** DAVID FANT (CEO)
- **Authorized official phone:** (304) 263-4999

## Contact information

- **Practice address:** 99 TAVERN RD, MARTINSBURG, WV 25401-2890
- **Practice address phone:** (304) 263-4999
- **Mailing address:** PO BOX 1146, MARTINSBURG, WV 25402-1146
- **Mailing address phone:** (304) 263-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 07/27/2016