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Organization
SUGARCREEK PLAZA FOODS LLC
Active
Organization
SUGARCREEK PLAZA FOODS LLC
Active
Other names
CUB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE LOFINO RPH (PRESIDENT)
(937) 431-1662
Entity
Organization
Contact information
Practice address
6134 WILMINGTON PIKE, CENTERVILLE, OH 45459-7029
(937) 848-6691
(937) 848-3666
Mailing address
6134 WASHINGTON PIKE, CENTERVILLE, OH 45459
(937) 848-4600
(937) 848-3666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RTP020940850
OH
Other
Enumeration date
11/27/2006
Last updated
03/30/2012
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