Organization
SHPH LLC
Active
Other names
Shepherdstown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RENEE KNOTT (OWNER PHARMD)
(304) 876-9966
Entity
Organization
Contact information
Practice address
7670 MARTINSBURG PIKE, #2, SHEPHERDSTOWN, WV 25443-3698
(304) 876-9966
(304) 876-6655
Mailing address
7670 MARTINSBURG PIKE, #2, SHEPHERDSTOWN, WV 25443-3698
(304) 876-9966
(304) 876-6655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552417
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020224
—
WV
01
—
5055430
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/07/2011
Last updated
12/21/2022
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