# SOUTHERN OHIO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN OHIO MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316341373
- **Authorized official:** RORY PHILLIPS (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (740) 356-8113

## Contact information

- **Practice address:** 1805 27TH ST, PORTSMOUTH, OH 45662-2640
- **Practice address phone:** (740) 356-8060
- **Practice address fax:** (740) 356-8514
- **Mailing address:** 1805 27TH ST, PORTSMOUTH, OH 45662-2640
- **Mailing address phone:** (740) 356-8113
- **Mailing address fax:** (740) 356-8514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022457650 | OH | Yes |

## Other

- **Enumeration date:** 10/20/2014
- **Last updated:** 03/20/2017