# ANTWERP PHARMACY INC

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

## Provider details

- **NPI number:** 1275621575
- **Authorized official:** BELINDA RENNO BS (R.PH./OWNER)
- **Authorized official phone:** (419) 258-2068

## Contact information

- **Practice address:** 109 S MAIN ST, ANTWERP, OH 45813-0246
- **Practice address phone:** (419) 258-2068
- **Practice address fax:** (419) 258-2444
- **Mailing address:** 109 S. MAIN ST, PO BOX 246, ANTWERP, OH 45813-0246
- **Mailing address phone:** (419) 258-2068
- **Mailing address fax:** (419) 258-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021130900 | OH | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 04/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2076260 | PK | — |
| 05 | — | 2111459 | — | OH |