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Organization
BRYANS FAMILY PHARMACY
Active
Organization
BRYANS FAMILY PHARMACY
Active
Other names
BRYANS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SMITH BSPHARM (PRESIDENT)
(513) 228-0800
Entity
Organization
Contact information
Practice address
726 E MAIN ST, SUITE 29, LEBANON, OH 45036-1900
(513) 228-0800
(513) 228-0803
Mailing address
726 E MAIN ST, SUITE 29, LEBANON, OH 45036-1900
(513) 228-0800
(513) 228-0803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RTP02246075003
OH
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
64001966A
IN
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201342990
—
IN
01
—
2078957
PK
—
05
—
2377253
—
OH
Enumeration date
07/30/2006
Last updated
03/20/2017
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