# FIELDS FAMILY ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dot's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013106202
- **Authorized official:** DR. JORDAN MARK MULLINS PHARMD (PIC, DIRECTOR OF PHARMACY)
- **Authorized official phone:** (513) 600-8236

## Contact information

- **Practice address:** 101 E ALEX BELL RD STE 172, CENTERVILLE, OH 45459-2752
- **Practice address phone:** (937) 221-9240
- **Practice address fax:** (937) 795-3291
- **Mailing address:** 415 S MAIN ST, WAYNESVILLE, OH 45068-9553
- **Mailing address phone:** (513) 897-7076
- **Mailing address fax:** (513) 897-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 021741050 | OH | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 05/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3676458 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |