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Provider Information for 1417573569


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. ELAINE LOIZOS-HOBDAY B.S.


Other Names:  
Professional Name: 
Mrs. ELAINE LOIZOS R.Ph.

Sex: Female

NPI: 1417573569
Last Updated: 2024-04-16
Certification Date: 2024-04-16

Details

NameValue
NPI1417573569
Enumeration Date2020-06-24
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 134 S QUEEN ST
MARTINSBURG, WV 25401-3316
United States

Phone: 304-267-8903 | Fax:304-267-9175
 
Primary Practice Address 134 S QUEEN ST
MARTINSBURG, WV 25401-3316
United States

Phone: 304-267-8903 | Fax:304-267-9175
 
Secondary Practice Address(es)

134 S QUEEN ST
MARTINSBURG, WV 25401-3316
United States

Phone: 304-267-8903 | Fax:304-267-9175
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
pattersonsdrugstore@yahoo.com
Direct pattersonsdrugstore@gmail.com 134 S Queen St
Martinsburg, WV 25401-3316
United States
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWV0142194000
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyWVFP5402362