# STATE OF OHIO OFFICE OF BUDGET & MANAGEMENT STATE ACCOUNTING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124564786
- **Authorized official:** ROSALAND GATEWOOD-TYE (ASSISTANT CFO)
- **Authorized official phone:** (614) 644-9142

## Contact information

- **Practice address:** 3000 ERIE ST S, MASSILLON, OH 44646-7976
- **Practice address phone:** (614) 466-0111
- **Mailing address:** 30 EAST BROAD ST, 11TH FLOOR, COLUMBUS, OH 43215-3413
- **Mailing address phone:** (614) 466-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/06/2017