# L T C PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** L T C Pharmacy, Ohio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225313216
- **Authorized official:** MR. CHRISTOPHER MICHAEL SCHOEN (OWNER)
- **Authorized official phone:** (616) 214-8011

## Contact information

- **Practice address:** 2233 TRACY RD STE B, NORTHWOOD, OH 43619-1302
- **Practice address phone:** (419) 214-3198
- **Practice address fax:** (616) 554-9581
- **Mailing address:** 2233 TRACY RD STE B, NORTHWOOD, OH 43619-1302
- **Mailing address phone:** (419) 214-3198
- **Mailing address fax:** (616) 554-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 022158900 | OH | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 06/27/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0063624 | — | OH |
