Organization
VILLAGE LONG TERM PHARMACY LLC
Active
Other names
Village Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY V LONGHI (OWNER)
(304) 723-2528
Entity
Organization
Contact information
Practice address
204 THREE SPRINGS DR, SUITE B, WEIRTON, WV 26062-3815
(304) 723-2528
(304) 723-2540
Mailing address
204 THREE SPRINGS DR, SUITE B, WEIRTON, WV 26062-3815
(304) 723-2528
(855) 933-2703
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
OP0552220
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145692
—
OH
01
—
2153229
PK
—
05
—
3910007162
—
WV
Enumeration date
07/10/2015
Last updated
10/20/2022
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