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Organization
FIELDS FAMILY ENTERPRISES INC
Active
Organization
FIELDS FAMILY ENTERPRISES INC
Active
Other names
Dot's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN MARK MULLINS PHARMD (PIC, DIRECTOR OF PHARMACY)
(513) 600-8236
Entity
Organization
Contact information
Practice address
101 E ALEX BELL RD STE 172, CENTERVILLE, OH 45459-2752
(937) 221-9240
(937) 795-3291
Mailing address
415 S MAIN ST, WAYNESVILLE, OH 45068-9553
(513) 897-7076
(513) 897-1446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021741050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3676458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/24/2007
Last updated
05/08/2024
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