Organization
TTGI CORP
Active
Other names
Spartan Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SCOTT VILLIARD RPH (PHARMACIST)
(276) 337-7131
Entity
Organization
Contact information
Practice address
201 LAUREL AVE, COEBURN, VA 24230
(276) 807-7106
(276) 807-7341
Mailing address
9609 EMORY AVE, WISE, VA 24293-4413
(276) 337-7131
(276) 807-7341
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0202011465
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447736152
—
VA
Enumeration date
07/16/2018
Last updated
01/26/2026
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