Organization
THREE SPRINGS VILLAGE PHARMACY LLC
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY LONGHI RPH (OWNER)
(304) 723-2528
Entity
Organization
Contact information
Practice address
204 THREE SPRINGS DR, STE A, WEIRTON, WV 26062-3815
(304) 723-2528
(304) 723-2540
Mailing address
204 THREE SPRINGS DR STE A, WEIRTON, WV 26062-3815
(304) 723-2528
(304) 723-2540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
SP0552329
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101722700
—
PA
01
—
2111584
PK
—
05
—
2669134
—
OH
05
—
3810005765
—
WV
Enumeration date
06/19/2006
Last updated
10/20/2022
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