# CLAYSVILLE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLAYSVILLE PHARMACY LLC
- **Other names:** Curtis Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750069753
- **Legal business name:** CLAYSVILLE PHARMACY LLC
- **Authorized official:** ERICH CUSHEY RPH (OWNER)
- **Authorized official phone:** (724) 663-7707

## Contact information

- **Practice address:** 555 ROUTE 88, CARMICHAELS, PA 15320-1173
- **Practice address phone:** (833) 502-1010
- **Practice address fax:** (724) 442-3650
- **Mailing address:** 305 MAIN ST \# K, CLAYSVILLE, PA 15323-3300
- **Mailing address phone:** (724) 663-7707
- **Mailing address fax:** (724) 663-5994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1016973030005 | — | PA |