Provider Demographics
NPI:1124611629
Name:OHIO VALLEY PHARMACY LLC
Entity type:Organization
Organization Name:OHIO VALLEY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-633-2944
Mailing Address - Street 1:1103 S ZANE HWY
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1967
Mailing Address - Country:US
Mailing Address - Phone:740-633-2944
Mailing Address - Fax:740-633-2756
Practice Address - Street 1:1103 S ZANE HWY
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1967
Practice Address - Country:US
Practice Address - Phone:740-633-2944
Practice Address - Fax:740-633-2756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies