Healthcare Provider Details

I. General information

NPI: 1962367359
Provider Name (Legal Business Name): LW PHARMACEUTICALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 CEDAR VALLEY DR
RICHLANDS VA
24641-3075
US

IV. Provider business mailing address

3 DOVE TREE LN
JONESBOROUGH TN
37659-4769
US

V. Phone/Fax

Practice location:
  • Phone: 276-282-5422
  • Fax: 855-540-5618
Mailing address:
  • Phone: 276-870-2064
  • Fax: 423-405-1578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP BLAKE MUSICK
Title or Position: OWNER
Credential: PHARMD
Phone: 276-591-7035