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Organization
FILLMORE PHARMACY LLC
Active
Organization
FILLMORE PHARMACY LLC
Active
Other names
Fillmore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PELTER (OWNER)
(419) 927-2691
Entity
Organization
Contact information
Practice address
119 S SYCAMORE AVENUE, SYCAMORE, OH 44882
(419) 927-2691
Mailing address
PO BOX 107, SYCAMORE, OH 44882-0107
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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