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Organization
KNISLEY PHARMACY LIMITED
Active
Organization
KNISLEY PHARMACY LIMITED
Active
Other names
MCFADDEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY MCFADDEN RPH (OWNER,PIC,AO)
(740) 634-3231
Entity
Organization
Contact information
Practice address
115 E MAIN ST, BAINBRIDGE, OH 45612-1102
(740) 634-3231
(740) 634-3236
Mailing address
PO BOX 566, BAINBRIDGE, OH 45612-0566
(740) 634-3231
(740) 634-3236
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RTP021350050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075490
PK
—
05
—
2378743
—
OH
Enumeration date
08/08/2006
Last updated
02/20/2017
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