# OHIO VETERANS HOME PHARMACY-GEORGETOWN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OHIO VETERANS HOME PHARMACY-GEORGETOWN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154517878
- **Authorized official:** RANDALL HARRIS RPH (PHARMACY OPERATIONS MANAGER)
- **Authorized official phone:** (419) 625-2454

## Contact information

- **Practice address:** 7110 BACHMAN RD, SARDINIA, OH 45171-9456
- **Practice address phone:** (800) 284-8741
- **Practice address fax:** (937) 446-2600
- **Mailing address:** 7110 BACHMAN RD, SARDINIA, OH 45171-9456
- **Mailing address phone:** (800) 284-8741
- **Mailing address fax:** (937) 446-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 021416750 | OH | Yes |

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 01/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2081057 | PK | — |