National Provider Identifier Database

SHENANDOAH PHARMACY LLC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

SHENANDOAH PHARMACY, LLC
99 TAVERN RD
MARTINSBURG, WV25401-2890
Phone: 304-263-4999
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for SHENANDOAH PHARMACY, LLC

NPI Number 1659762466
Legal business name
LBN
SHENANDOAH PHARMACY, LLC
Authorized official DAVID FANT - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 02/16/2015
Last updated 07/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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