Organization
SHENANDOAH PHARMACY, LLC
Active
Parent organization
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Authorized official
DAVID FANT (CEO)
(304) 263-4999
Entity
Organization
Contact information
Practice address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-4999
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-1146
(304) 263-4999
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
07/27/2016
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