# KMG PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124856703
- **Authorized official:** MR. MAHMOUD JAMIL SHALTAF RPH (PIC/OWNER)
- **Authorized official phone:** (708) 589-5668

## Contact information

- **Practice address:** 846 E MAIN ST, TROTWOOD, OH 45426-2911
- **Practice address phone:** (937) 529-4433
- **Practice address fax:** (937) 715-4447
- **Mailing address:** 846 E MAIN ST, TROTWOOD, OH 45426-2911
- **Mailing address phone:** (937) 529-4433
- **Mailing address fax:** (937) 715-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2024
- **Last updated:** 07/24/2024