Organization
PATTERSON'S DRUG STORE, INC.
Active
Other names
Patterson's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE C. LOIZOS-HOBDAY B.S. IN PHARMACY (OWNER, REG. PHARMACIST IN CHARGE)
(304) 267-8903
Entity
Organization
Contact information
Practice address
134 S QUEEN ST, MARTINSBURG, WV 25401
(304) 267-8903
(304) 267-9175
Mailing address
PO BOX 3060, 134 S QUEEN ST, MARTINSBURG, WV 25402
(304) 267-8903
(304) 267-9175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
MP0550777
WV
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142194000
—
WV
01
—
5001235
NABP
—
Enumeration date
11/01/2006
Last updated
04/17/2024
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