Provider Demographics
NPI:1376665232
Name:LONGHI, PATSY V (RPH)
Entity Type:Individual
Prefix:MR
First Name:PATSY
Middle Name:V
Last Name:LONGHI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5024
Mailing Address - Country:US
Mailing Address - Phone:304-723-8011
Mailing Address - Fax:
Practice Address - Street 1:204 THREE SPRINGS DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062
Practice Address - Country:US
Practice Address - Phone:304-723-2528
Practice Address - Fax:304-723-2540
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist