# ADEGEN PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ADEGEN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245093574
- **Authorized official:** JOHN GOSS (CEO)
- **Authorized official phone:** (614) 522-0429

## Contact information

- **Practice address:** 1620 GATEWAY CIR, GROVE CITY, OH 43123-8650
- **Practice address phone:** (614) 522-0429
- **Mailing address:** 1620 GATEWAY CIR, GROVE CITY, OH 43123-8650
- **Mailing address phone:** (614) 522-0429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024