# KET MEDS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053353425
- **Authorized official:** MS. DEBORAH LYNN COX (OFFICE MANAGER)
- **Authorized official phone:** (937) 293-3172

## Contact information

- **Practice address:** 2419 FAR HILLS AVE, DAYTON, OH 45419-1502
- **Practice address phone:** (937) 293-3172
- **Practice address fax:** (937) 293-8539
- **Mailing address:** 2419 FAR HILLS AVE, DAYTON, OH 45419-1502
- **Mailing address phone:** (937) 293-3172
- **Mailing address fax:** (937) 293-8539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02-0943900 | OH | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2039672 | — | OH |
| 01 | — | 3658018 | NCPDP \# | OH |