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Contact Information

SHENANDOAH PHARMACY, LLC
99 TAVERN RD
MARTINSBURG, WV25401-2890
 Phone: 304-263-4999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHENANDOAH PHARMACY, LLC

NPI Number 1659762466
LBN Legal business name SHENANDOAH PHARMACY, LLC
Authorized official DAVID FANT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/16/2015
Last updated 07/27/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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