=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962367359
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LW PHARMACEUTICALS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2025
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3118 CEDAR VALLEY DR
-----------------------------------------------------
City | RICHLANDS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24641-3075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-282-5422
-----------------------------------------------------
Fax | 855-540-5618
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3 DOVE TREE LN
-----------------------------------------------------
City | JONESBOROUGH
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37659-4769
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-870-2064
-----------------------------------------------------
Fax | 423-405-1578
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PHILIP BLAKE MUSICK
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 276-591-7035
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------