Organization
NEIDIG PHARMACY GROUP LLC
Active
Other names
Medi-Wise Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN H NEIDIG RPH (PRESIDENT/CEO)
(740) 492-0191
Entity
Organization
Contact information
Practice address
415 S RIVER ST, NEWCOMERSTOWN, OH 43832-1443
(740) 492-0191
(740) 492-0275
Mailing address
PO BOX 190, NEW PHILADELPHIA, OH 44663-0190
(740) 492-0191
(740) 492-0275
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022283800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087538
—
OH
Enumeration date
06/19/2013
Last updated
05/20/2014
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