# STANDARD PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235251802
- **Authorized official:** CHARLES EDWARD KELLY SR. RPH (OWNER AND RPH)
- **Authorized official phone:** (937) 325-2224

## Contact information

- **Practice address:** 541 W MAIN ST, SPRINGFIELD, OH 45504
- **Practice address phone:** (937) 325-2224
- **Practice address fax:** (937) 325-0422
- **Mailing address:** 541 W MAIN ST, SPRINGFIELD, OH 45504
- **Mailing address phone:** (937) 325-2224
- **Mailing address fax:** (937) 325-0422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02009935002049 | OH | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 07/30/2008
