Organization
SPRING VALLEY FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON O'CALLAGHAN PHARMD (OWNER)
(304) 741-0607
Entity
Organization
Contact information
Practice address
448 JACKSON PIKE ROAD, GALLIPOLIS, OH 45631
(740) 446-2844
(740) 446-4629
Mailing address
448 JACKSON PIKE, GALLIPOLIS, OH 45631
(304) 741-0607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022788400-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PMY.022788400-03
TERMINAL DISTRIBUTOR OF DANGEROUS DRUGS
OH
Enumeration date
08/31/2017
Last updated
06/16/2018
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