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TUG VALLEY PHARMACY LLC NPI 1336339704


NPI Information

NPI: 1336339704
Provider Name: TUG VALLEY PHARMACY LLC

Doing Business As: TUG VALLEY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
54 W 2ND AVE
WILLIAMSON, WV
ZIP 25661
Phone: (304) 235-8080
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TUG VALLEY PHARMACY LLC is a community/retail pharmacy pharmacy in Williamson, WV. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TUG VALLEY PHARMACY LLC NPI is 1336339704. The provider is registered as an organization entity type.
The provider Is Doing Business As Tug Valley Pharmacy.

The provider's business location address is:

54 W 2ND AVE
WILLIAMSON, WV
ZIP 25661-506
Phone: (304) 235-8080
Fax: (304) 235-1699

The provider's authorized official is Samuel Randolph Ballengee .
The authorized official title is President/owner and has the following contact phone number (304) 235-8080.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 12/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15970210001MEDICARE NSCWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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