# SUGARCREEK PLAZA FOODS LLC

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

## Provider details

- **NPI number:** 1245306901
- **Authorized official:** MIKE LOFINO RPH (PRESIDENT)
- **Authorized official phone:** (937) 431-1662

## Contact information

- **Practice address:** 6134 WILMINGTON PIKE, CENTERVILLE, OH 45459-7029
- **Practice address phone:** (937) 848-6691
- **Practice address fax:** (937) 848-3666
- **Mailing address:** 6134 WASHINGTON PIKE, CENTERVILLE, OH 45459
- **Mailing address phone:** (937) 848-4600
- **Mailing address fax:** (937) 848-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RTP020940850 | OH | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 03/30/2012