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Organization

VIRGIE CLINIC PHARMACY INC

Active
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Organization

VIRGIE CLINIC PHARMACY INC

Active
Other names
Valley Disount Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COURTNEY N. BLACK PHARMD (PRESIDENT)
(606) 639-2415
Entity
Organization

Contact information

Practice address
7671 US HWY 23 SOUTH, PIKEVILLE, KY 41501
(606) 639-2415
(606) 639-3052
Mailing address
P.O. BOX 340, VIRGIE, KY 41572
(606) 639-2415
(606) 639-3052

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P01060
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1808697
NCPDP
KY
01
1808697
NCPDP PROVIDER IDENTIFICATION NUMBER
05
7100172530
KY
Enumeration date
10/02/2006
Last updated
01/23/2026
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